“What Cures?”

Insight? Relationship? Both? The therapist’s warmth and empathy are essential to build a working alliance. But his or her intelligence and learning are crucial to being able to use the alliance to help cure.

Пікірлер: 83

  • @JJ-rp2df
    @JJ-rp2df7 ай бұрын

    At the risk of oversimplifying, I greatly appreciate therapy framed as a relationship "enabled" research project, knowledge and necessary vs sufficient. A valuable contribution as always thanks Don.

  • @doncarveth

    @doncarveth

    7 ай бұрын

    Thank you

  • @kirstinstrand6292

    @kirstinstrand6292

    5 ай бұрын

    What happens to the Analysand when the "Psychoanalyst" gets the Transference wrong? I personally wasted an additional four years circling around the drain with an improperly trained training Analyst. In actuality, he was a Place Holder for me, unbeknownst to me and him. Attachment Theory was not incorporated in psychoanalysis, although AT had been around many years prior to 1975. I had to finish my self analysis before looking back to get an understanding of what went wrong in Psychoanalysis.

  • @jelenazarkovic5440
    @jelenazarkovic54403 жыл бұрын

    Cannot be overstated, and needs repeating. What is the capacity for listening? The work is is in confrintations, hiatuses, and awkward moments of the therapeutic relationship too. It would be interesting to elaborate on the ‘good enough therapist’ concept as well.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Yes, good idea

  • @laurapalmer01
    @laurapalmer013 жыл бұрын

    Telling it like it is, Don! Thanks for the candor. Always appreciate your teachings.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Thank you.

  • @judithbreastsler
    @judithbreastsler3 жыл бұрын

    _even_ what Lacan saw LOL

  • @panteasafaee3659
    @panteasafaee36592 жыл бұрын

    Again. Another great video. Im in Iran and situation here is so bad Listening to you makes my day 🌹

  • @SaharSajadi
    @SaharSajadi3 жыл бұрын

    Thx.Glad to watch a new post.

  • @youwillforgetinaweek
    @youwillforgetinaweek3 жыл бұрын

    So much gratitude from hearing this alone. It's a kind of grateful feelings I have after reading Winnicott and Fromm for the first time.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Thank you, I’m glad

  • @psykoanalytikern
    @psykoanalytikern3 жыл бұрын

    Dr Carveth! Intreresting talk as always. I've always seen method as a key to the door where the relationship is formed. I have always stressed the relationship as the most important component of a therapy. Maybe I've put a little too much emphasis on that. I realize when I hear you talk that I need to start talking to my students a lot more about insight. Though, I still believe that the method for insight it's subordinated. Wether it's CBT, gestalt therapy or psychoanalysis. It can yeld good insigt, and in combination with the relationship, containment, transference etc. It really doesn't matter much. The only problem I see with CBT is the trends surrounding it. You can't make any fundamental change in a persons inner dynamics after 10 sessions. Maybe some behavioural change on the "surface", but that's not the same thing, as i'm sure we can agree on. But as I see it, there is also a potential danger in favouring one particular method too much. We could unconsciously be out seeking the good breast. "One ring to rule them all". That one object that will remove all frustration. We can't have it, but maybe we can give it to our patients, on whom we transfer/project these arcaic needs. PS. These are just my associations and reflections. I know that you know all this stuff.

  • @Emilia-hj5xw
    @Emilia-hj5xw2 жыл бұрын

    Thank you very much . Always great talks.

  • @elnazyaghoobi8426
    @elnazyaghoobi84263 жыл бұрын

    Such an informative and helpful point. Appreciate it👏

  • @meshplates
    @meshplates3 жыл бұрын

    If can't listen to the unconscious, you are not a psychoanalyst. The other stuff is playing a therapist on TV.

  • @coolspot64
    @coolspot643 жыл бұрын

    Thanks for this. This is the first time I’ve heard someone challenge the current relational shift happening in psychotherapy and stress the importance of insight on top of the therapeutic bond.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Thanks, it needed saying

  • @bellakrinkle9381

    @bellakrinkle9381

    4 ай бұрын

    There does not seem to be much emphasis on the "work" the patient does outside of therapy. Sometimes, it's good to only have one or two sessions weekly.

  • @andreaszekely2986
    @andreaszekely29868 ай бұрын

    You are a blessing to the p analytic community.

  • @doncarveth

    @doncarveth

    8 ай бұрын

    Thank you so much

  • @fotispnb
    @fotispnb2 жыл бұрын

    Thank you very much!

  • @bellakrinkle9381
    @bellakrinkle93814 ай бұрын

    There are different types of cures. Being able to function while being employed is a major accomplishment for many. Others will seek more resolution to personal idiosyncrasies. It's useful to have different skill sets in selecting the therapist to assist in seeking resolution. It need not be an either or situation.

  • @Nick-qb4yd
    @Nick-qb4yd3 жыл бұрын

    Thanks very much for this. I've been watching your videos on transformations and the move from the P-S to the Depressive or Reparative position in which the super-ego's strength is diminished in place of conscience. I'm wondering whether you'd be willing to consider doing a video on the role that repetition compulsion and working through play in this movement between the two positions (or perhaps you've already done this in a video I'm not aware of)

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Nick, good idea.

  • @crm317
    @crm3173 жыл бұрын

    I’ve been reading Bacal’s Theory of Specificity-helped me really understand that it is not X, Y, or Z that cures. But what each individual client needs at a given moment in time, from moment to moment. Although, overall, I agree with your sentiments.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Well, I always listen to my old friend Howard’s ideas, but I don’t always agree with them.

  • @crm317

    @crm317

    3 жыл бұрын

    @@doncarveth anything specific that you don’t agree with regarding Bacal’s ideas? I guess there will always be some level of dispute among analysts.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    @@crm317 Well the trouble with “optimal responsiveness“ is that it appears to be an infinitely applicable concept. If one speaks of someone needing a good kick in the pants, someone following but kohl might say that might be the optimal response.

  • @crm317

    @crm317

    3 жыл бұрын

    @@doncarveth by the way, love all your videos. Just purchased one of your books.

  • @ghazanhussain2070
    @ghazanhussain20702 жыл бұрын

    I personally value insight a lot. To me it is really matters that my understanding about my internal psychic dynamics is growing. Otherwise it feels too dull and tasteless that the only thing you get out of analysis is lessening anxiety and inhibitions.

  • @doncarveth

    @doncarveth

    2 жыл бұрын

    I agree

  • @bobbienovemeiaquatro
    @bobbienovemeiaquatro3 жыл бұрын

    Hello from São Paulo , Brasil! Good afertnoon!

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Hello to you

  • @deborahbergmann9072
    @deborahbergmann90723 жыл бұрын

    The therapist/analyst also needs to be capable of/willing to bring that intelligence into play in their clinical work. I wonder what percentage of clinicians are intellectually disciplined and playful.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Yes

  • @JoshBarzell
    @JoshBarzell3 жыл бұрын

    This was deep and powerful. I’ve lately been thinking about whether male penis envy is important. I don’t know if Freud thought of male penis envy (meaning the penis envy that men have). Also, unconscious homosexual desire in women. These seem to be deeper structures that aren’t talked about much.

  • @Cocomoc.
    @Cocomoc.3 ай бұрын

    Im here in search for answers and understanding NPD. I thought to be empathic and really trying to understand, yet in relationships that becomes for me question of who lives- me or NPD person. Im highly sensitive and attuned person and its hard to be close to someone who can so mercilessly see u die and blame u for that death. I noticed all patterns of defense mechanisms kicking in and all shifting. Fascinated by psychoanalysis and enjoyed all videos. Still wondering how to be compassionate and survive myself. How to help and not die.

  • @doncarveth

    @doncarveth

    3 ай бұрын

    Boundaries

  • @Cocomoc.

    @Cocomoc.

    3 ай бұрын

    @@doncarveth boundaries were taken with projections, belittling, smearing and searching for cause to break off the relationship. Thank you

  • @sarahhajarbalqis
    @sarahhajarbalqis2 жыл бұрын

    Therapy is research. Questioning contradictions. Hypotheses. Drivers. Inhibitors. Change.

  • @doncarveth

    @doncarveth

    2 жыл бұрын

    Yes

  • @kirstinstrand6292

    @kirstinstrand6292

    5 ай бұрын

    Absolutely, and all these factors and variants can not be resolved in six months.

  • @psykoanalytikern
    @psykoanalytikern3 жыл бұрын

    Btw! You should talk about Masud Khan. That would be interesting! 👍

  • @bobsommer1958
    @bobsommer19585 ай бұрын

    I’d love to hear your thoughts on some of the humanistic/existential thinkers: rollo may, Carl Rogers, Irvin yalom, in particular

  • @doncarveth

    @doncarveth

    5 ай бұрын

    I will be, addressing this, to some extent in my upcoming presentation to Australian colleagues: psychology.org.au/event/24402

  • @mirejpaunovic722
    @mirejpaunovic722 Жыл бұрын

    Thank you, Donald! I am a young therapyst and eager to know and be good, what should be my main focus, are Freud, Klein, Hartman and Kohut enough? And also, what do you think about TA analysis, gestalt, rebt, should a good therapyst beside psychoanalysis study that also? If he should, there is really a lot

  • @doncarveth

    @doncarveth

    Жыл бұрын

    Stick to the main psychoanalytic perspectives: Freud, Klein, Hana Segal, Neo- Kleinhans like Ron Britton, then Winecott, Kohut, Steven Mitchell

  • @mirejpaunovic722

    @mirejpaunovic722

    Жыл бұрын

    @@doncarveth Thanks a lot!

  • @kirstinstrand6292

    @kirstinstrand6292

    5 ай бұрын

    Your main focus should be your childhood. Psychoanalysis is steeped in chaos these days, imo. The entire process needs UPDATING for the 21st Century.

  • @daveclarke8899
    @daveclarke88992 жыл бұрын

    Would you do another talk on listening with the third ear Don? I don’t know much beyond the fantastic book that Theodore Reik wrote

  • @doncarveth

    @doncarveth

    2 жыл бұрын

    That’s tough. To do it I will have to think of many clinical illustrations. I’ll think on it

  • @justinwilson1613
    @justinwilson16136 ай бұрын

    The topic of your video fascinates me, and I’m glad you made it. I think it’s ironic that you view relationship-focused analysts as potentially “self-serving”. Could the same not be said for your belief that your own intellectual power is the curative variable? Perhaps I fall into the category of “lazy” clinicians that lean too heavily on the usefulness of the relationship 😉

  • @doncarveth

    @doncarveth

    6 ай бұрын

    Worth thinking about

  • @somedaythewaves
    @somedaythewaves Жыл бұрын

    Wise old man

  • @annenicholsonmbtp
    @annenicholsonmbtp3 жыл бұрын

    Yeomans also made a video about this.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Great, can you send us a link?

  • @joserogelioledezmaescudero4381
    @joserogelioledezmaescudero43813 жыл бұрын

    Hello doctor, I'm going to ask you a question about your proposition of having a 5-part structure of the mind. I'm not a therapist but I've read a lot about psychoanalysis and psychology and i think i can agree with your proposition of keeping the superego away from the conscience and here i'm imagining that you can have a parallel with Freud meaning that you could root conscience in the human lymbic system which could explain why psychopaths haven't got any anxiety, guilt, shame, etc, since these are emotions a normal human being viscerally feels and psychos can't, that's why they do what they do. So, if you say that a psychopath hasn't got a conscience you would mean that he'S got an organic failure, probably an in-born one. Then you could say that the superego is entirely psychic structure that doesn't depend on biological roots. what do you think?

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Plausible, but I know nothing about the brain so cannot really evaluate

  • @nononouh
    @nononouh Жыл бұрын

    1:50talk is holdingoff awkwardness? 3:46 9

  • @JoshBarzell
    @JoshBarzell3 жыл бұрын

    Shouldn’t we (not me because I’m not a therapist) be asking how can we avoid curing? Isn’t the cure the problem? If we keep avoiding a cure, maybe we’ll have one. In a sense, the cure is the problem…

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    Would you tell your oncologist that the cure is the problem?

  • @JoshBarzell

    @JoshBarzell

    3 жыл бұрын

    @@doncarveth no, you wouldn’t; but, that’s what’s so interesting about psychoanalysis. A counter-question would be this: Would you want to go to a psychoanalyst who knew what was wrong with you - or to one who did not?

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    @@JoshBarzell I would prefer to go to a psycho analyst who is intelligent and well trained enough to figure out what was wrong with me fairly quickly and help me get over it.

  • @JoshBarzell

    @JoshBarzell

    3 жыл бұрын

    @@doncarveth I think it’s a question of the super ego and how that entity always knows what’s best, what the cure should be, and how it should go about getting it.

  • @Enr227

    @Enr227

    3 жыл бұрын

    @@JoshBarzell What is your definition of “cure”?

  • @kirstinstrand6292
    @kirstinstrand62925 ай бұрын

    Therapists need not be bright? It depends on one's client base. It has taken Don's level of intelligence to put the finishing touches on my self analysis. The best training for those who desire to become a psychoanalyst is to experience a full blown analysis with a board certified psychoanalyst. Unless you can analyze yourself - do your own analysis. No true psychoanalysis can be valid if it only takes six months! Moreover, State Laws must be changed in all states to require that only Board Certified Psychoanalysts can legally practice their profession. All non Board Certified should not be valid to work as Psychoanalysts. They can practice Psychoanalytic Psychotherapy until they pass the proper Certification.

  • @doncarveth

    @doncarveth

    5 ай бұрын

    Probably true, though, the problem with rules is that there are always exceptions. Gottstein said the trouble with rules of thumb is that if you rely on them, you are all thumbs.

  • @MrGooda2
    @MrGooda23 жыл бұрын

    the self-serving echo-chamber of the analytic clique, cries the loadest of all...."how special we are, how well we understand our patients and how treatment failures are failures within the patient and not the analytic method".....Over reliance on analytic theory has no dobut resulted in a greater proportion of treatment failures than any lack of intelligence/insight on the part of the therapist.

  • @doncarveth

    @doncarveth

    3 жыл бұрын

    But search over reliance on theory reflects a deficit in the intelligence of the therapist.

  • @MrGooda2

    @MrGooda2

    3 жыл бұрын

    @@doncarveth Search Vs Reliance? not quite understanding your point here?....According to Winnicott the Good enough mother does not need to engage in reflection of her good enough qualities, rather she has perfectly adequate instincts to contain the emotional difficulties of her infant/toddler. Surely this applies to therapists as well; those that are good enough are able to rely on instincts to serve their patients, rather than needing to rely on a theoretical framework. A final critique, is that analytic theories are at times mutually exclusive. Take Self-Psychologists (Kohut) understanding of pathalogical narcissism Vs Kleinians (Kernberg). To be an all rounder analyst like yourself requires contending with theories that contradict each other in fundamental ways. They can't both be right! - perhaps they are both wrong?....At any rate, does knowledge of either make you fundamentally a better therapist!? I very much doubt it....

  • @r.g.j.leclaire8963

    @r.g.j.leclaire8963

    3 жыл бұрын

    ​@@MrGooda2 He uses speech to text because he can't see well enough to type, and sometimes it messes up. 'search' = 'such'.

  • @davidclarke9215
    @davidclarke9215 Жыл бұрын

    Hello Don, I have both your books and your KZread’s inform my practice and life. I wonder if you have anything to say on forgiveness being interested in the interface between theology, ¥A and sociology?

  • @doncarveth

    @doncarveth

    Жыл бұрын

    David, I’ve made a few remarks here and there on this topic but, so far, no full lecture, but it’s a good suggestion. Thanks

  • @kirstinstrand6292

    @kirstinstrand6292

    5 ай бұрын

    I definitely. believe forgiveness is a major component in healing. However, sometimes if forgiveness is actualized, it's likely that some will feel that the work is finished. I'm here to say that the timing is critical. Especially for those who have not dealt with their own self sabotage. @@doncarveth