Mark L. Ruffalo @MarkLRuffalo
Editor-in-Chief, @CarlatPsych Psychotherapy Report; Pitt-trained 💙💛 faculty in psychiatry @UCF and @TuftsMedSchool; interest in BPD/psychosis drruffalo.com Tampa, FL Joined September 2019-
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1/ I made a list a while ago, about therapy🚩 that should make you think long & hard about whether you’re seeing right therapist Starting another, please add -agrees with nearly everything you say -diagnoses people in your life -gives you advice -mawkish displays of “empathy"
Nathan S. Kline in 1956, writing about the now common practice of ghostwriting: "It is certainly below professional dignity to have the pharmaceutical house write the article, to which the investigator merely affixes his signature."
A given analyst’s technique is character rationalized…My view of the divisions between theoretical groups is that they are based primarily on character traits. - Lee Grossman
For the compulsively caring therapist who desperately holds the dead mother at bay, the patient who does not get better represents the fear of the re emergence of the dead mother and the re- traumatisation of the therapist. The feelings are inherently primitive and visceral.
I recently had a chance to sit down with psychiatrist Alex Curmi of @ThinkingMindPod to discuss #borderline personality disorder #BPD, its pathogenesis, interpersonal dynamics, and treatment. youtu.be/UDGzku4PqNQ?si…
Over the weekend, I had the great opportunity to discuss with co-host @leonscafe31 various topics relating to psychotherapy, psychiatric diagnosis, pluralism and the biopsychosocial model, and more. Take a listen!
Over the weekend, I had the great opportunity to discuss with co-host @leonscafe31 various topics relating to psychotherapy, psychiatric diagnosis, pluralism and the biopsychosocial model, and more. Take a listen!
"Gradually, I realized I was on the edge of a complete breakdown myself.... I had to escape." He asked a colleague to take over the case, and he left town for two or three months. Rogers' family considered this episode a serious nervous breakdown.
sessions per week were not enough, and she began going to his house in the mornings to sit on his doorstep. She demanded warmth and acceptance and became hostile if Rogers seemed less than accepting. He wrote that her hostility "completely pierced my defenses" and that...
In his autobiography, Carl Rogers wrote about his mismanagement of a patient he described as "borderline psychotic, on the edge of schizophrenia." He said this young woman pushed his buttons, and he became convinced she was making him psychotic. She felt that two or three...
Interesting article by @MarkLRuffalo on The Psychotherapy of Schizophrenia: A Review of the Evidence for Psychodynamic and Nonpsychodynamic Treatments psychiatry-psychopharmacology.com/en/the-psychot… @SGanschow @runningdoc
Too bad academic psychologists don't know psychoanalysts have been writing for >100yrs about how we recreate relationship patterns—shaped by early formative relationships & endlessly repeated Paul Wachtel introduced term “cyclical psychodynamics” for this apa.org/pubs/journals/…
Too bad academic psychologists don't know psychoanalysts have been writing for >100yrs about how we recreate relationship patterns—shaped by early formative relationships & endlessly repeated Paul Wachtel introduced term “cyclical psychodynamics” for this apa.org/pubs/journals/… https://t.co/c7mwGGGZvb
"It is ironic that many people who accuse medicine of presenting an overly reductive and simplistic understanding of mental health problems themselves cannot see beyond an overly reductive and simplistic understanding of the medical model."
"It is ironic that many people who accuse medicine of presenting an overly reductive and simplistic understanding of mental health problems themselves cannot see beyond an overly reductive and simplistic understanding of the medical model."
My analyst told me a story today of Otto Kernberg being totally devalued and trashed by a borderline patient in a corridor in New York Hospital. Kernberg's colleagues were watching, and he later expressed great embarrassment over the whole thing. It resonated.
.@MarkLRuffalo: “Whether a diagnosis carries negative consequences, whether it is hated or loved by the patient or doctor, whether it carries social stigma or social benefit–all are irrelevant to the central question, “Is disease present in this case?” existentialcafe.blog/2024/04/24/in-…
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1/ I made a list a while ago, about therapy🚩 that should make you think long & hard about whether you’re seeing right therapist Starting another, please add -agrees with nearly everything you say -diagnoses people in your life -gives you advice -mawkish displays of “empathy"
Another strikeout for pharmacogenomic testing. Clinical judgment, not gene testing, remains the standard of care in antidepressant treatment. tps://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.20230657
@JonathanShedler @MarkLRuffalo Terminology that Rogers himself regretted.
@JordanDB_SW @MarkLRuffalo Thanks for listening! We’re glad you enjoyed it.
Unlicensed TikTok content creators whose content can be described as psychoeducation for DSM-5-TR mental disorders from people claiming to have those mental disorders based on their self-diagnosis. Charlatans spewing iatrogenic “psycho-(mis)education” playing on well known…
I found myself feeling special whenever my analyst self-disclosed about his family. Others feel enraged. What determines the nature of this response?
@MarkLRuffalo I enjoyed this paper but find myself wanting a case study of how therapy helps with schizophrenia. There should be a play or movie about it like In Treatment. Unfortunately, that therapist in that show never treats a schizophrenic or schizotypal.
Great article!
In this recent paper in Psychiatry and Clinical Psychopharmacology, I review the psychotherapy of schizophrenia, including psychodynamic approaches, which I contend are effective and significantly underutilized forms of treatment. psychiatry-psychopharmacology.com/en/the-psychot…
A given analyst’s technique is character rationalized…My view of the divisions between theoretical groups is that they are based primarily on character traits. - Lee Grossman
@MarkLRuffalo A mentor of mine (PGY 30ish) once told me that a mix of different types of work is what prevents burnout. It’s a concern of mine too. The ED is a wild place. Don’t let your dreams be dreams, Dr. Ruffalo!
@MarkLRuffalo The ghost of Elvin Semrad has arisen!
@MarkLRuffalo @leonscafe31 This was a great listen. Is there a specific piece of literature about those 12 to 20 scientifically valid diagnoses from Robert Spitzer?
@erby1kabogey Looking outwards to look inwards 🙃
Exciting news: I write for Psychiatric Times now! @PsychTimes
For the compulsively caring therapist who desperately holds the dead mother at bay, the patient who does not get better represents the fear of the re emergence of the dead mother and the re- traumatisation of the therapist. The feelings are inherently primitive and visceral.
@MarkLRuffalo @canadahiker Treating psych problems you don’t understand can be dangerous for the therapist as well as the client.
West Saratoga, the $11,000 purchase taking his believers on the journey of a lifetime. #KyDerby
@MarkLRuffalo Terrific! The best treatments are effective combinations of EVERYTHING we know that works. Enough w/ the reification of singular tx modalities for complex human problems.
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