BiteSize Therapy
@bitesizetherapy.bsky.social
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Psychologist. Personal thoughts, not professional advice. An account for therapists.
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bitesizetherapy.bsky.social
The papers I vowed to read over the summer.
bitesizetherapy.bsky.social
The desire to excel must be differentiated from the desire to be perfect.
- Glen Gabbard
bitesizetherapy.bsky.social
Psychodynamic theory is clinically useful but often buried under a mound of jargon and negative stereotypes. This paper explores what can be done about that.
bitesizetherapy.bsky.social
Identity is important not because we are always the same - if we were, we would scarcely think about our identities…It is precisely because we can be so different in different contexts that we need to ask ourselves “who am I?”
- Paul Wachtel
bitesizetherapy.bsky.social
MARTIN SHORT: Who’s sexier, me or Steve Martin?

DIANE KEATON: I mean, you’re both idiots.
bitesizetherapy.bsky.social
On being realistic about session frequency:
“If my analyst asked me how often do you want to come, I would have said once a year. If you can promise to change my life if I come once a year, why come more often?”
- Sheldon Bach
bitesizetherapy.bsky.social
“I’ve trained scores of therapists only to find that the self-doubting ones worry me a lot less than those that are overly certain.”
- @aaronbalick.com

A great article 👏🏻
Reposted by BiteSize Therapy
bitesizetherapy.bsky.social
For therapy to be therapeutic, it is more important for the clinician to understand people than to master specific treatment techniques…Unless one understands someone’s unique, personal subjectivity, one cannot infer the best treatment approach for that individual.
- Nancy McWilliams
bitesizetherapy.bsky.social
The impact of AI on psychotherapy is no joke. The practice next door is now a “Spirit Halloween”
bitesizetherapy.bsky.social
I don’t know why psychoanalysts get blamed for talking about penis envy when Taylor Swift is clearly the person responsible.
bitesizetherapy.bsky.social
Reflection is under siege. We have devices in our pocket that allow top of mind thoughts to be broadcast in an instant. Since “hot takes” tend to be popular, impulsivity gets rewarded, making reflection even less likely. Thinking gets replaced by checking notifications.
bitesizetherapy.bsky.social
“We’ve tried nothing and we’re all out of ideas” is 10/10 perfection. No notes.
bitesizetherapy.bsky.social
Trying to unearth the meaning of a psychoanalytic paper
bitesizetherapy.bsky.social
2/2
Not knowing about the power of unconscious life, nor the dynamics that occur relationally between client and therapist, can result in frustration and even treatment failure.
- Kautz & Piotrowski (2019)
bitesizetherapy.bsky.social
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1/2
Managed care and short-term behaviorally based treatments have privileged symptom reduction and undervalued in-depth approaches, sometimes resulting in clinical impasses…
bitesizetherapy.bsky.social
After some time most beginners become more comfortable as their self expands to fit their new role…The high art of psychotherapy requires that one be true to oneself (i.e. to one’s selves) while at the same time putting oneself at the disposal of another.
- H. Schlesinger
bitesizetherapy.bsky.social
No two people truly speak the same language. Rather, they have enough denotation and connotation to succeed, on the whole surprisingly well, in sharing ideas. Well, but only “on the whole.”
- Warren Poland
bitesizetherapy.bsky.social
Westen (2002) discussed the importance of clear writing for assisting with clinical work. There is room for a more poetic style of writing, but I think the question is: Who is your audience? I don’t think clear language is a lesser form of psychoanalytic scholarship.
bitesizetherapy.bsky.social
Keep an eye on the anxiety thermometer; too little makes for pleasant conversation but not much therapy, too much creates excessive discomfort for the patient.
- Summers, Barber, & Zilcha-Mano (2024)
bitesizetherapy.bsky.social
Psychology word of the day:
De-escalation.
bitesizetherapy.bsky.social
Eagle’s paper is a great example of how psychoanalytic writing can be useful to any practitioner. He tackles theoretical complexity and clinical applications without jargon or obfuscation. He knows what he’s talking about and ensures the reader does, too.

guilfordjournals.com/doi/abs/10.1...
Psychoanalytic Conceptions of Agoraphobia | The Psychoanalytic Review
This contribution addresses the agoraphobic syndrome in several important ways. Tracing the different formulations of agoraphobia reveals shifts in psychoanalytic theorizing. The etiology and maintena...
guilfordjournals.com