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03-Jan-2020 19:37

This is worrying not just as a psychiatrist, but as someone who wants to know anything about other people at all. You can also get it from abusing certain drugs – marijuana, LSD, cocaine, and even prescription drugs like Adderall and Ritalin. Sure, if you abuse every single drug at once you’ll think the CIA is after you with their mind-lasers.

But if you just take a little more Adderall than you were supposed to, you’ll be 1% paranoid.

But apparently I was unconsciously projecting some kind of “I don’t like strong emotions, you’d better avoid those” field, and my patients were unconsciously complying.

I wish I could say my supervisor’s guidance fixed the problem and I learned to encourage emotional openness just as well as my colleague.

With me, they tended to give calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history.

Everyone assumed that meant I was good at dealing with difficult cases, and must have read a bunch of books about how to defuse crises. Then a few days ago I stumbled across the Reddit thread Has Anyone Here Ever Been To An LW/SSC Meetup Or Otherwise Met A Rationalist IRL? I’ve always believed psychodynamic therapies are mostly ineffective, and cognitive-behavioral therapies very effective, because all my patients seem to defy the psychodynamic mode of having having weird but emotionally dramatic reactions to things in their past, but conform effortlessly to the cognitive-behavioral mode of being able to understand and rationally discuss their problems.

We were both in the same training program, studying under the same teachers. In particular, all her patients had dramatic emotional meltdowns, and all my patients gave calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history. I wish I could get my patients to have dramatic emotional meltdowns. I tried, I even dropped some hints, like “Maybe this reminds you of your father?

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