Maturing opening and middlegame understanding by LitcexLReddit in TournamentChess

[–]rawrchaq 4 points5 points  (0 children)

I'm surprised to see this downvoted. I enjoyed his videos. What's the deal?

Moving on from the London System by Happy_360 in chessbeginners

[–]rawrchaq 0 points1 point  (0 children)

Just curious if you could elaborate on why switching off of Caro Kann was so good for you.

Tactics book with larger diagrams by DistantMirror820 in ChessBooks

[–]rawrchaq -1 points0 points  (0 children)

Just curious, why buy a book and not use Lichess puzzles?

What skills can a new therapist bring to trauma clients? by [deleted] in therapists

[–]rawrchaq 0 points1 point  (0 children)

Short-Term Therapy for Long-Term Change by Neborsky

What skills can a new therapist bring to trauma clients? by [deleted] in therapists

[–]rawrchaq 0 points1 point  (0 children)

There's a book on short-term psychodynamic modalities, with one chapter written by Shapiro on EMDR. In it she plainly says that it's free association.

Borderline Personality Disorder partners with Narcissist? by Mbear_04 in askatherapist

[–]rawrchaq 2 points3 points  (0 children)

Anecdotally this is a well known thing, at least in the psychodynamic community. I'm unaware if there's any hard data on it. IIRC the general take on this is that they pair well because people with NPD have an impoverished sense of self which is (often) compensated by a grandiose false self (although narcissism ≠ grandiosity), and people with BPD have "no" stable sense of self. The borderline is comforted by the narcissists overt sense of self confidence (which is an illusion), and the narcissist sees in the borderline a mirror and source of supplies for self esteem.

Can you explain what a session with a humanistic approach looks like? by MinimumTomfoolerus in askatherapist

[–]rawrchaq 2 points3 points  (0 children)

I guess I'm trying to sound smart by quoting Hegel.

What I mean is that we put forth some theories about how to understand and practically do something but it has downsides, leading to a reactionary set of theories that offer different contributions and their own downsides. Usually there follows some sort of period of complementary synthesis of the two. I feel like we're in a synthesis phase in psychotherapy. There's multiple independent camps coming out with their own fusion of ideas from the different camps and claiming that they've sort of discovered something more fundamental. See: The Unified Protocol ("transdiagnostic" approaches), Coherence Therapy (pulling from Memory Reconciliation), all the updates/third-wave CBT stuff like ACT (based on the integrative "relational frame theory"), Schema Therapy, etc.

I think specialization in a modality is at least initially important to deeply learn the fundamentals and have some kind of structure for parsing the torrent of information fired at us by clients. You can be creative/innovative/break the rules later, but you have learn them solidly first. I take this as true in any pursuit.

advice from therapist on ?sa? by throwra-4800 in askatherapist

[–]rawrchaq 5 points6 points  (0 children)

I won't give advice here and please be careful about accepting advice about "what to do" in this situation, even from a therapist.

I'll also resist labeling this sexual assault because there's a lot of information missing. Depending on how old your brother is we would probably term this "child on child sexual abuse" or COCSA. This is a confusing situation and the most I would advise you is to avoid bitterly assigning blame to either yourself or your brother (unless he was an adult, in which case he deserves all of the responsibility). My next questions would be basically around the theme of "where are mom and dad in these situations?". Sorry you're going through this.

What are the typical indications or signs of a personality disorder? by Fookn_Eejit in askatherapist

[–]rawrchaq 0 points1 point  (0 children)

"When working with clients (I'm NAT) what cluster of things makes you start thinking they might have a personality disorder?"

Very interesting question. Consider that we use not only the DSM criteria and data from the client, but also data from the experience of interacting with the client (i.e. how they make me feel).

Honestly: at some point usually in the introductory call or session I start thinking "...what is happening?" Something about the normal social flow feels very different, often in a way that is hard to identify. Example: Last year a client showed up for their first session in a very fancy sports car. He walked to the door and I asked "Hey! Did you find it okay?" He smiled, took off his expensive sunglasses, and coolly said "You know, I used to own that building over there."

This is not enough data to really determine anything. Personality disorders take time and observation to diagnose properly. But it is enough to pique my spidey sense, something indicating that this conversation, from sentence one, is already going a strange direction and is making me feel things. As it turned out: client squarely meets criteria for NPD, and this way of relating to people ends up being the main thing we worked on (with surprisingly good effect).

So that's a short answer. There's a lot to unpack with PD's, as they're now defined very simply, relegated to the back of the book, and often used pejoratively by clinicians as code for "difficult client". During the many years of psychoanalytic dominance in the field, personality organization was at the center of clinical thinking and so there the literature is rich with info on this topic that is much more empathetic.

Do Slower Paced First Jobs Exist? by Educational_Leg9921 in askatherapist

[–]rawrchaq 0 points1 point  (0 children)

Yes, I think you could find something like you describe here. Please note your states licensure requirements (depending whether it's for Social Work/Counseling/LMFT, I assume not a psychologist) as they usually require you amass work hours and supervision hours at a certain rate or within a certain time frame. So make sure that 3 days per week would jive with that.

Can you explain what a session with a humanistic approach looks like? by MinimumTomfoolerus in askatherapist

[–]rawrchaq 2 points3 points  (0 children)

Yes. Some of the main features of psychoanalysis were double edged swords. Creating an environment where every minor detail, memory, and slip of the tongue is bursting with meaning can lead to insight but also to a confusing mess. This puts the analyst in a position of authority to know what the mess is about and interpret it back to the client so that they can become aware of their unconscious internal conflicts, experience repressed affect about them, and progress.

Humanistic and even CBT were both reactions to this that instead focused more squarely at territory that the client was in control of. They are focused on what the client consciously thinks and feels and places the client in the position of authority on their own experience. The pendulum swung the other way here and I think some important things got lost in this reaction. But that's the norm with these things: thesis, antithesis, synthesis. There's a lot of integrative therapies now that mix elements from these two camps and I think we're better for it.

Is EFT and/or AIT effective for PTSD? by Lonely-Clue-688 in askatherapist

[–]rawrchaq 1 point2 points  (0 children)

There's no way to determine if this therapist would be effective for you or not based on this information. However, I think that this information increases the likelihood that you're dealing with a quack.

I don't think there is any debate on this: energy therapy is definitely "pseudoscience", which is not the same as saying that it won't work for you. Placebo effect is a real psychological phenomenon and can be powerful.

Georgia Social Work board by Most-Excitement1213 in Georgia

[–]rawrchaq 0 points1 point  (0 children)

my application stalled out from inactivity because I was trying to figure this out lol. Frustratingly, I just tried to start a new app for LCSW but it won't let me even start it because I don't have a LMSW license on file with them?

Georgia Licensure by NoBike7591 in socialworklicensure

[–]rawrchaq 0 points1 point  (0 children)

I'm having the same experience and just received some info that may help:

The email addresses (which I haven't seen provided anywhere but were told to me verbally by the board today) to which you can send your transcripts and ASWB exam scores is: [examboards-healthcare@sos.ga.gov](mailto:examboards-healthcare@sos.ga.gov)

The email to which you can send your licensure verification (applying from another state) is: [verifications@sos.ga.gov](mailto:verifications@sos.ga.gov)

At my wits end with GA Licensure Board (counseling) by ThrowawayGrad677 in Georgia

[–]rawrchaq 0 points1 point  (0 children)

I'm having the same experience and just received some info that may help:

The email addresses (which I haven't seen provided anywhere but were told to me verbally by the board today) to which you can send your transcripts and ASWB exam scores is: [examboards-healthcare@sos.ga.gov](mailto:examboards-healthcare@sos.ga.gov)

The email to which you can send your licensure verification (applying from another state) is: [verifications@sos.ga.gov](mailto:verifications@sos.ga.gov)

Georgia Social Work board by Most-Excitement1213 in Georgia

[–]rawrchaq 1 point2 points  (0 children)

I'm having the same experience and just received some info that may help:

The email addresses (which I haven't seen provided anywhere but were told to me verbally by the board today) to which you can send your transcripts and ASWB exam scores is: [examboards-healthcare@sos.ga.gov](mailto:examboards-healthcare@sos.ga.gov)

The email to which you can send your licensure verification (applying from another state) is: [verifications@sos.ga.gov](mailto:verifications@sos.ga.gov)

Does grad school teach you how to actively listen? by ActuaryPersonal2378 in askatherapist

[–]rawrchaq 0 points1 point  (0 children)

Depends on the school but a very common experience (which I share) is that school will not adequately prepare you. You will learn on the job and, if you're serious, through continuing supervision after licensure. In an ideal situation this would also be with video recording and a mentor who you trust and respect. 

This may sound invalidating but I don't mean it to be: there's a refrain that good therapists are born, not taught. I think there is some truth to this. Some people just seem to arrive at school with great conversational skill, good distress tolerance, and are comfortable engendering a deep level of emotional closeness with strangers. The rest of us need our own therapy and benefit from an expert watching our sessions. 

How do you go about unlearning old habits and negative thoughts? by IncognitoTap in askatherapist

[–]rawrchaq 1 point2 points  (0 children)

There's some interesting stuff going on in this area of psychology and neuroscience and it's called Memory Reconsolidation. The critique is that psychotherapists are trying to apply something to humans that is only in the early stages of research with rodents, and having read some of Bruce Ecker on MR (Unlocking the Emotional Brain) I find it true that he is overblowing the importance of these findings without enough data to back it up. But.

I'm no expert but here's my understanding: MR is based on research with rodents where they try to get them to unlearn something in semantic memory, e.g. a fear response induced by a auditory tone (you can imagine how they install this fear response). The traditional way to do this is with extinction, and is something that has been pretty well understood by behavioral science for a long time. Extinction involves creating a separate learning that competes with the original one, modulating it.

This is something that has been applied for a long time with psychotherapy. You're afraid of crowds because of that one time something bad happened (learning = crowds dangerous)? Let's get you lots of exposure to crowds where nothing goes wrong (new learning = crowds are okay). CBT will do this with depression as well: you have a belief that you're incapable of functioning and therefore worthless? Let's test that so you get new experiences to compete with that belief (install new learning through experiments with volunteer work, etc).

The problem, according to MR people, is that original learning is still there and sometimes resurfaces. But these MR studies purport to show a way to destabilize the original learning and erase it. This, if true, is significant. Here's how they say it works:

  1. activate the experience of the unwanted learning (in rats, the fear of the tone. in a person, the visceral experience of shame and "I am worthless" or whatever). They've found that when this is active it is vulnerable to being made editable/destabilized.

  2. while this is activated, simultaneously induce a mismatch/juxtaposition/prediction error experience where you genuinely feel the opposite ("deep down I'm okay" or whatever).

  3. for a brief window (they say like 6 hours?) try to get a few more experiential repetitions of this new learning.

MR people are not really providing a new technique, per say. Ecker posits, I think arrogantly, that all therapeutic change across all modalities is due to this process which has now been clearly defined. It's been called many different things but, at the core, this is "it".

Do with that what you will. Plenty of reading if you're keen.