Why I persist in going to therapy after so many failures

I made this as a reply to someone’s comment in the last post, but figured I would also post it as its own entry.
Diagram of therapy

You can see I have a bit of a bias towards insight oriented therapies.

16 thoughts on “Why I persist in going to therapy after so many failures

  1. Makes sense. It seems like it would take an exceptional person to be able to find those bits in another person. I enjoy the diagram.

    • Yea and some people are better than others at it. The therapist block only shows what they believe is true they don’t know for sure which of that information fits into which category. If you think about it there are people people you’ve known or observed where you’ve noticed thing about them that they don’t seem to realize themselves. No ones understanding of you will match you perfectly, but the most valuable way for it to deviate from your understanding is when it reaches into truth you haven’t figured out. But there can be a lot of wrong stuff to wade through to get to the good part and sometimes the wrong things are so wrong that it’s not worth pursuing more with that individual.

            • I tried downloading a pirated version of the adobe one you used for Mac but it didn’t work. I’ll just draw it if I figure it out.

              BTW – had a question for you. I was pretty sure it was you who blogged about a therapist threatening to end therapy if you cut without calling him. I just found it in your archives….is this a typical DBT technique? I’d be very interested to know anything you know about this topic.

            • Yes, apparently it is a typical DBT technique, although I think/hope most therapists are hopefully more tactful about how they do it. I know this idea is something that’s been discussed in classes I’ve taken where we talked about DBT. The phone calls are considered an important part of the therapy. The idea is that DBT doesn’t want to reinforce the behavior it’s trying to change. What they want you to do is call before you do the behavior. If they call back before you do it they can give support about avoiding it. But if you do the behavior in the intervening time then they’ll be like oh that’s a shame, and not talk to you. Never experienced that part first hand because I never called. If you want to know about DBT in more detail buy Marsha Linehan’s book about it, the one for therapists (Cognitive-Behavioral Treatment of Borderline Personality Disorder) or the patient one (http://www.amazon.com/Training-Treating-Borderline-Personality-Disorder/dp/0898620341/ref=sr_1_1?ie=UTF8&qid=1300880896&sr=8-1) Used to own a copy , but hated it a ton and gave it away to a friend who wanted it. I really think there’s something a little bit mean/cold/unempathetic about the way DBT is done and my experiences plus the videos I’ve seen of it being conducted do nothing to convince me otherwise. Some really smart, kind people though who I have worked with are DBT clinicians, so I don’t know how much of my awful experience plus my really not liking marsha linehan’s style is representative of the therapy in general practice.
              I’d like to think there are therapists out there who might have worked with me more about the issue instead of dumping me. Really though going to a therapy targeting stopping cutting ,when I don’t want to stop was just a bad match all around. The thing is that at that time in my life I was a little more ambivalent about the cutting. The right person could have convinced me to at least try to stop. But the antagonistic way people have tried to shove their opinions down my throat kind of forced me to take a more sturdy opposition.

              Also not as fancy, but powerpoint can make shaped and words. You might try that. Then just screen cap to get the part you want.

            • Also sanity if you have like a scanned rough drawing of the chart you want to make I could probably prettify if for you if you wanted. Something like what I did here doesn’t take long when I’m already familiar with the program.

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