Marsha Linehan session 1 part 3

[@Yetipfote]

the most difficult thing with borderlines is to keep in the Flow because they are very chaotic. You have to be like water, my friend. At the same time you have to be someone. A person with boundaries but they always test and hop over the boundaries because they don't feel them. "Well, I promised this but now I'm feeling like doing the opposite and I don't see what effect this has on me or the person I promised this to."

[@Yetipfote]

cannot believe how good and convincing that role play was.

[@JohnGeranien]

The student did a fantastic job!

[@jaliselbrown]

These videos are very helpful for me. They help me to empathize with this set of issues and how hurtful they can feel to a client. I have watched several of her videos today and they are helping me understand the impact of DBT for not only people with personality disorders but even defense mechanisms I have developed over the years to deal with feelings of anxiety. Very good work, thanks for sharing @Damien

[@AlexRyan]

Is there a part 4?

[@plusfuture]

the mmhmm at 22:47 😭😭

[@susuyaag3755]

sorry the patient is way too nice to stay on that chair.. I was expecting much more from Marsha. Her questions are just way too dragged and if I was in that chair I will lose hope. Ill see the next part maybe there is more in that. I still have hope in DBT so ill watch more of Marshas videos and read more about her and DBT

[@margarethakloots5287]

Very real

[@FrancesWalshe1]

More empathy from the tx … sounds too anxiety ridden… needs to be the opposite

[@AllTaxisRYellow]

I truly don’t understand how one woman can be credited with creating a standard of living that so many institutions make money off of. Did she take others people’s credit? Literally the DBT Handout lists one creator/author. I doubt her so much.

[@sangeetabansal1258]

A bit harsh… I recommend reading her memoir… it’s very moving and will show you the long arduous road Marsha had to be on to develop what she truly believed in … including getting trained as a zen master

[@JohnGeranien]

It’s the learned helplessness part that’s speaking. Same line of thought as ‘how can this person possibly help me?’ I can relate to this

[@elfy5066]

Because she’s dedicated her whole life to it

[@AllTaxisRYellow]

This discredits those people who are actually specific. This screws and fake situation are so vague

[@oscaramarolopezzuniga6755]

it’s just to show the flow of the therapy, and the technique, not the case indeed

[@bonitabrandt5286]

I don't see how this doctor could help anyone...the patients seem to just want to be heard, and she acts like a jerk....my gosh, any average person could give more validation.

[@queeryful]

If she gave out praise for little stuff, it wouldn't be worth much.

[@sMiley171296]

She is expressing boundaries clearly and consistently, I guess you could say that that also is a form of validation, to communicate the rules openly and repeat them as often as it is needed. She is taking the patient seriously, listening to the fact, that she wants to talk about how therapy is not working, offers her autonomy in repeatedly asking her in what order she wants to talk about things. In the emotional turmoil the patient seems to be in, swept away by hopelessness/frustration it is vital to be structured for the situation not to spiral. She is a living example of how not to give in to chaos - something the client needs to learn and committed to. Also Dr Linehan is holding her responsible for how she can use the time of the session inside the rules they agreed upon. If she is able to follow the rules, talk through the self harm etc. there also is space for the things she brought into the session. And turn the situation around: if you stopped taking self harm etc. seriously meaning not speaking about it, that would be invalidating! As the client said: she cut herself because she felt her life was shit. By taking self harm seriously, exploring why she did it, the therapist is not only helping her understand how these situations unfold and how to intervene, but she also expresses, that it does matter, if she hurts herself, that she matters.

[@matthewcook9531]

Validation isn't just "oh that sounds so difficult, of course you would feel that way." I think it's a bit ignorant to say that the creator of the most well-researched and gold standard treatment for borderline personality disorder couldn't help anyone.

[@dorukcansev]

Absolutely agree, just came for this comment. Even during the patient's most agitated moments, she seems more concerned about the furniture or the clock than her. No human empathy whatsoever, just mechanical & tense approach. I respect Marha Linehan for her work but that was just a disappointing demonstration. More like an uptight mum or boss than a caring therapist.

[@christinekohler4951]

​@@queeryful *