Sigmund Freud and 21st Century Social Media: Id, Ego & SuperEgo as Social Media Platforms

Posted on July 1, 2018, Written on June 13, 2018 By Chris Broyles

You walk up to Berggasse 19 in Vienna, Austria, and enter a dimly lit room filled with thousands of books, odd antiquities and hear the dull tick of an unseen clock. You see an oddly familiar face of a slight older man with a silver-grey beard, cigar delicately balanced between his fingers, and he asks you to sit down. After a measured beat, the famed neurologist and founder of psychoanalysis Sigmund Freud leans in and gently asks:

“Tell me about your Twitter…”

So that might not be *exactly* what he would have said back in the late 1800s and the early 1900s during the rise of psychiatry. But given the progression of some of his famed theories including the belief that the human psyche is structured into three parts; the Id, the Ego, and the SuperEgo, he might have had a field day equating these systems to the way individuals seem to approach modern day social media.

As Sigmund Freud’s model of the psyche – or personality – lays it out, these three components can be viewed like an iceberg – the tip of the iceberg above water represents conscious awareness (Ego), while the larger mass of the iceberg below the surface represents the unconscious mind (Id), where the innate desires, urges, needs are met, and the ‘pleasure principle’ initiates the human need for instant gratification. As you grow older, your personality develops, and you grow to control these ‘Id’ based urges, and your true self (your ‘Ego’) matures. All the while, resting both above and below the surface, you strive to reach your own ideal (‘SuperEgo’) by controlling the Id, and balancing your Ego, and who you actually are as a person.

What’s the correlation to social media? Well, as we’ve seen in the three major social networks, the instantaneous nature of Twitter – or our “social Id” – lends itself to both real-time moments of delight, humor and shared event-driven experiences, but also gives voice to regrettable bursts and limited character shots of insults, sexism, racism, and other streams of consciousness that might have better been left unsaid (or at least, unwritten).

Facebook, with its shared connections, photos, posts and ‘likes’ between friends, family, schools, businesses and our everyday lives, is a reflection of our self (our “social Ego”) …demonstrating on a near daily basis who we actually are as a person and member of society or defined group.

LinkedIn on the other hand, is a platform where we define who we are professionally, but also enables the user to carefully construct who they want others (more often than not, strangers vs. friends or colleagues) to see who we want to believe we are: a “social SuperEgo” that symbolizes our ideal self.

What makes it so hard for people to control their pleasure principle, or “social Id” on Twitter? Sigmund Freud himself wrote: “The first human who hurled an insult instead of a stone was the founder of civilization.” It took ABC mere hours to respond to Roseanne Barr’s racist and Islamophobic tweet about Valerie Jarrett by firing her and canceling the recent Roseanne reboot. “Roseanne’s Twitter statement is abhorrent, repugnant and inconsistent with our values, and we have decided to cancel her show,” ABC Entertainment president Channing Dungey wrote in a statement. There have been many other moments where jobs have been lost, lives altered and online “angry mobs” formed as a result of what was tweeted. Jon Ronson gave a TEDTalk a few years back on how ‘one tweet can ruin your life,’ despite the fact that the platform initially gave voice to the voiceless, but was now growing into a steady stream of epithets and dehumanizing colloquy. The talk featured the now infamous 2013 story of Justine Sacco, the PR exec, who as she was leaving for an 11 hour flight to South Africa from London, tweeted ‘Going to Africa. Hope I don’t get AIDS. Just kidding, I’m white!” The fallout was as swift and punishing as you might imagine with this kind of exercise in ‘social Id.’ And there isn’t room in this piece to discuss how our current President utilizes his primal need to use the social platform.

Facebook addressed the societal impact it has in a blog post late last year. David Ginsberg, Facebook’s Director of Research, and Moira Burke, Research Scientist at Facebook, wrote about the critical question about whether spending time on social media was “bad for us.” While they candidly talked about the ‘bad’ that can come with passively scrolling and consuming social media, they also addressed the research that describes the positives that come with actively interacting with one another. The research netted out that separating good from bad comes down to how you use the technology.

CEO Mark Zuckerberg said:

“…it’s important to remember that Facebook is about bringing people closer together and enabling meaningful social interactions; it’s not primarily about passively consuming content. Research shows that interacting with friends and family on social media tends to be more meaningful and can be good for our well-being, and that’s time well spent. But when we just passively consume content, that may be less true.”

Facebook’s platform allows for us to have those meaningful relationships and engagement, and as the age of its user grows older, the sharing of photos, videos, graduation announcements, trips, dinners and entertainment becomes even more a part of the sharing of “self.”

Now that we’ve talked about our Id and our Ego, what about our “social SuperEgo?” If the SuperEgo is “the component of personality composed of our internalized ideals that we have acquired from our parents and society,” working to suppress the pleasure principle of the Id and at the same time striving to make the Ego stay in line, how does LinkedIn play its role? In our world, it’s a business tool. And as professionals, we strive to present ourselves in our ‘ideal form’ to others.

AdWeek wrote an article last fall about how LinkedIn has gone from questionable Microsoft acquisition to one of the most influential social media platforms for businesses and professionals. “People are more careful about what they say on LinkedIn, because it’s essentially their default resume,” says M. Scott Havens, global head of digital for Bloomberg Media. “We see a much cleaner conversation that’s supportive, positive and actually useful.” LinkedIn has grown to be a platform where ‘civil discourse’ and B2B engagement runs supreme.

While Sigmund Freud may not have lived to see 21st century social media, he believed that “the voice of the intellect is a soft one, but it does not rest until it has gained a hearing.” He invariably would have had a lot of business lining people up and laying them down on the couch to analyze their online profiles. At the end of the day, social media platforms have now become inescapably woven into the fabric of our society. Whether exercising our pleasure principle on Twitter, sharing photos of our latest family outing on Facebook, or posting recent thought leadership from our company on LinkedIn, it’s interesting to see how our personalities naturally fall into this “tripartite” theory.

Digital Illustration by: Ben DeRosa

Reprinted from:

Mission to Mars: What psychosocial challenges would astronauts face on an epic journey to the red planet?

By Kirsten Weir

June 2018, Vol 49, No. 6

Posted from here (APA)

Even at their closest, when Earth and Mars are approaching one another in their oblong orbits, there are 35 million miles between our blue orb and the red planet. But that distance hasn’t stopped NASA and other space agencies from setting their sights on a human mission to Mars, which would require astronauts to live in space for at least two and a half years. NASA has been working toward the goal of delivering astronauts to Mars by the early 2030s, says Thomas Williams, PhD, a psychologist and chief scientist of human factors and behavioral performance at NASA’s Johnson Space Center in Houston, Texas. In December, President Donald J. Trump signed a space policy directive instructing the space agency to return astronauts to the moon. It’s been nearly 46 years since astronauts last traveled beyond Earth’s orbit, and a fresh moon mission would serve as a pock-marked steppingstone toward a subsequent human mission to Mars.

Getting there requires not only rocket science, but also human science—which can be even more daunting than perfecting propulsion systems and landing gear.

NASA doesn’t take these challenges lightly, Williams says. Scientists are carefully assessing the physiological, psychological and social factors associated with a journey to Mars, with NASA conducting research independently as well as in partnership with experts outside of the agency. “We are concerned about the risks behavioral health and performance would pose to a Mars mission within our current understanding, but we have cutting-edge researchers to help us answer these questions,” he says. “None of this we consider insurmountable.”

Far from home

Scientists have been studying the effects of living in space for decades. Since 1971, astronauts (and their Russian counterparts, cosmonauts) have spent weeks or months inhabiting a series of space stations orbiting Earth. The current iteration, the International Space Station (ISS), welcomed its first crew in 2000 and has been occupied ever since.

Research from the space station has provided useful information about how astronauts respond to the challenges of space, such as microgravity, confinement and isolation, says Nick Kanas, MD, emeritus professor of psychiatry at the University of California, San Francisco, who has long studied space psychology. But interplanetary travel is another story, he says. “Mars is a long way away, and the extreme distance has psychological ramifications.”

Pictured here are crew members (left to right): Dr. Ross Lockwood, Dr. Tiffany Swarmer and neuropsychologist Dr. Ron Williams at the Hawai’i Space Exploration Analog and Simulation habitat.Currently, astronauts spend about six months at a time on the ISS. So far, the longest consecutive period spent in space is 437 days, a record set by cosmonaut Valeri Polyakov aboard the Russian station Mir. A multiyear journey is uncharted territory—and a long time to spend in tight quarters with just three or four other people. “It will be hard to have the kind of social novelty we crave,” Kanas says. And because a Mars expedition would probably be a collaborative effort among countries, those astronauts will have to overcome cultural differences to live and work together.

What’s more, communication between Earth and a Mars-bound ship will be delayed up to 20 minutes each way. If an astronaut asked a question, 40 minutes could pass before he or she received a reply. “We know the ability to talk in real time with family and with the people on mission control is very important to astronauts,” Kanas says. “When you take that away, it creates a real conflict.”

The difficulty of speaking with family members on the ground could contribute to loneliness and psychological problems such as anxiety or depression. Astronauts will also have to be much more autonomous and prepared to handle emergencies on their own, since they won’t be able to rely on real-time advice from mission control. “The communication delay will lead to crews having to take care of their own problems, including medical or psychological emergencies,” Kanas says.

Another concern is how astronauts might react to the experience of being so far from Earth. Many ISS astronauts report that gazing at and photographing the Earth from above is a favorite pastime that can reduce stress and even inspire spiritual or transcendental experiences, as Kanas described in a review of the psychosocial issues related to long-distance space travel (Acta Astronautica, Vol. 103, No. 1, 2014). But that perk won’t be available from 35 million miles away. “Nobody knows the effect of seeing the Earth as a dot in the heavens,” he says. “Maybe it won’t have any effect—but maybe it will.”

Floating questions

The physical challenges of living in space can also have implications for psychological well-being. One top concern is how space radiation will affect the body. Beyond the protective bubble of Earth’s atmosphere, space radiation poses a significant threat to human DNA, cells and tissues. “It can impact the central nervous system and can alter the structure and function of the brain,” says Williams.

In animal studies, NASA scientists are exploring how chronic radiation exposure might affect brain function. Recently, Charles Limoli, PhD, at the University of California, Irvine, and colleagues exposed mice to charged particles that simulated cosmic radiation. They found structural changes in the mice’s brains such as reduced complexity of dendrites, the extensions that branch from neurons. What’s more, the mice also showed behavioral changes, including memory deficits, increased anxiety and deficits in executive function (Science Reports, Vol. 6, No. 1, 2016).

Researchers are also studying factors that might compound or minimize those effects, Williams says. For example, scientists are exploring the concept of cognitive reserve, which posits that education and experience can help protect the brain against physical damage (such as the pathological changes associated with Alzheimer’s disease). NASA scientists are investigating whether cognitive reserve can also protect against radiation in space.

The effect of altered gravity is another active area for space scientists. Floating weightless might look like fun, but it can lead to physical problems including motion sickness, muscle wasting and changes in visual perception. Those changes could have downstream effects on psychological well-being, Williams notes. Getting regular exercise, for instance, is a lot trickier when your feet don’t touch the ground—and physical activity is known to promote positive mental health.

Weightlessness can also contribute to psychological problems in surprising ways. For example, kidney stones are more common in altered gravity environments, and stones can raise the risk of urinary tract infections, Williams says. In some cases, undiagnosed UTIs can trigger confusion or delirium, which could be mistaken for a psychiatric disorder. Researchers’ work to connect the dots among these possible risks is essential for preparing astronauts for life in space. “It’s important to be alert to what medical conditions could occur as a result of these altered environments,” Williams says. “If someone has a medical condition, we don’t want to treat it as a psychological problem.”

Mental health on mars

Prolonged weightlessness is hard to study on Earth, where it’s impossible to cancel out the effects of our planet’s gravity. But many other features of an extended space mission can be recreated in so-called space analog studies conducted in confined and isolated environments.

U.S. Air Force Reserve Officer Casey Stedman served as commander for the second mission of the Hawai’i Space Exploration Analog and Simulation project.The largest such study to date was the Mars500 project, led by the Institute of Biomedical Problems of the Russian Academy of Sciences in 2010–11. For 520 days, six healthy male participants from several countries lived inside an enclosed module in Russia designed to mimic the feel and function of a Mars shuttle. Crew members had military and engineering backgrounds, similar to the traditional backgrounds of astronauts and cosmonauts. During the simulation, the crew members performed routine maintenance and scientific experiments, were isolated from Earth’s light-dark cycles and experienced communication delays just as they would on a flight to Mars.

That experiment raised some concerns, says David Dinges, PhD, a psychologist at the University of Pennsylvania who researches chronobiology and has studied astronauts on the ISS and in space analog environments. He and his colleagues recorded psychological and behavioral changes among the Mars500 participants. One crew member experienced mild to moderate symptoms of depression during most of his time in confinement, they found. Two others experienced abnormal sleep-wake cycles, while another reported insomnia and physical exhaustion (PLOS One, Vol. 9, No. 3, 2014).

In the same study, he and his colleagues also found that the two crew members who had the highest rates of stress and exhaustion were involved in 85 percent of the perceived conflicts with other crew members and mission control. A single stressed-out astronaut, in other words, might cause problems that affect the entire mission.

In a different study, Dinges and colleagues looked more closely at the sleep and activity habits of the Mars500 crew. They found that as the months stretched on, crew members became increasingly sedentary when awake. They also spent more time sleeping and resting, which the researchers characterized as a kind of behavioral “torpor” to conserve energy. Four of the six crew members experienced sleep problems during their 520 days in pseudospace, including disrupted sleep-wake schedules, reduced sleep quality, a shift to more daytime sleep and performance deficits related to chronic sleep loss (PNAS, Vol. 110, No. 7, 2013).

Some of those problems can be addressed by optimizing lighting to more accurately mimic the 24-hour cycle and UV spectrum of sunlight on Earth, Dinges says. “We are a circadian species, and if you don’t have the proper lighting to maintain that chronobiology, it can create significant problems for crew members,” he explains. Other elements, such as stress or operational factors related to crew work schedules, might also be to blame, he says. But more research is needed to fully understand those factors.

Coping skills

Dinges is among a large team of scientists working to understand and prevent psychosocial problems that might arise in space. In a new NASA-supported project, he and colleagues at institutions across the country are looking for biological indicators that offer clues about a person’s emotional, social and cognitive resilience. “We know there are substantial individual differences in how people cope with different kinds of stressors, but we don’t understand why that is—and more importantly, how to identify ahead of time how people might cope, or how to help them do it,” he says.

NASA already employs a comprehensive physical and psychological screening process to identify astronauts likely to thrive under the stressful conditions of spaceflight. Biomarkers of resilience could add a new dimension to that evaluation. However, selecting biologically superior astronauts isn’t necessarily the goal, says Dinges. Instead, he envisions such biomarkers being used in research to identify and test medications or behavioral strategies that could boost resilience.

“Biomarkers could be used to determine how to maximize those countermeasures,” he says. “Behavioral issues are serious, and the challenge isn’t just to figure out who can optimally cope, but also how to provide help for those who need it.”

It’s too soon to say whether scientists will succeed in finding a blood test to measure resilience. But with or without such a test, a Mars mission requires a strategy to help astronauts manage stress and maintain emotional well-being.

Raphael Rose, PhD, a psychologist at the University of California, Los Angeles, is among the scientists contributing to that effort. He has studied a stress management program among participants in the Hawai’i Space Exploration Analog and Simulation (HI-SEAS) project, a study led by the University of Hawai’i at Mānoa. During the fifth installment of the project in 2017, six men and women spent eight months living and working in an isolated compound on the rocky, otherworldly landscape of Mauna Loa.

During that project, participants used Rose’s program, the Stress Management and Resilience Training for Optimal Performance (SMART-OP). The program involves a variety of self-guided modules, such as video demonstrations of conflict-resolution strategies and a biofeedback game that helps the user practice regulating his or her breathing and heart rate. Rose says NASA is reviewing the findings, which have not yet been released to the public. But he’s optimistic the program shows promise. “The participants found the program really useful and helpful, which is a good sign that it’s something people would actually use, and something that could be integrated into future trainings or missions.”

“These crews contain rather remarkable people who are already quite resilient to start with,” Rose says. “But we can lower the risk of any behavioral health concerns by addressing things in advance through training and providing people with an avenue to address any issues that come up.”

Studies such as Mars500 and HI-SEAS are important, but can’t answer all of the questions about life in space. Sample sizes are tiny. And participants know they’re not actually hurtling through the void of space. Of course, there’s that pesky thing called gravity.

Yet while a true trip to Mars might have unique stressors, it is also likely to be filled with excitement and wonder. For people who have long dreamed of exploring the next frontier, those benefits are likely to outweigh the potential risks. “The reality is it would be pretty exciting for astronauts to actually be the first to walk on Mars,” Williams says.

The Art of Not Trying Too Hard

Steven Shapiro • 5/4/2018

Q: I’m sometimes unable to form an alliance with “difficult” clients, and therapy fizzles out before it’s gotten started. How can I reach these hard sells?

A: As you’ve undoubtedly discovered, when we genuinely connect with clients, therapy usually goes smoothly and effectively, and the work is rewarding. We tend to ascribe our successes to our clinical skills and our clients’ motivation. Like¬wise, when things don’t go so well—when we sit with passive, sullen, unengaged, unforthcoming clients for session after session—we often think it’s because we lack the necessary skills, or the clients are unmotivated or resistant. We may even begin to resent such clients for putting up barriers against our best efforts to help them.

What stands in the way of connecting effectively? I’ve found that the major difficulty stems, paradoxically enough, from trying too hard! Many clients, even if they’re highly motivated to get into therapy, have only limited tolerance for emotional connection, interpersonal closeness, and sympathetic concern—actions that most therapists assume are central to the alliance and to therapy itself. The harder you try to reassure such clients and show how much you care, the more fearful, defensive, and withdrawn they become.

What’s happening here is a failure to match our self-presentation and efforts to connect with our clients’ emotional capacity to respond. To put it bluntly, our song hurts their ears, and the more they express their discomfort, the louder we sing. What we need to do instead is work on matching our personal style and way of connecting to theirs, making it easier for them to accept our attention and clinical focus.

Here are three guidelines that may help you form a solid alliance with your hard-to-reach clients.

1. Instead of assuming that withdrawn, distancing, sullen, un-forthcoming clients are being “resistant,” consider the possibility that emotional experience of any kind makes them uncomfortable and anxious. Or: it’s not about you.

Clients’ emotional distance may have nothing to do with your skills, but may reflect longstanding personal difficulties and family-of-origin issues. The emotional chilliness may be interesting in itself. Go with the flow! Engage your own curiosity about this dynamic without im¬plicitly shaming clients for being “resistant” or “self-defeating.” Explore clients’ behavior with questions about its origins. Is the discomfort more related to issues of trust, feelings of vulnerability, rejection, or a need to be independent and in control? What does this say about their upbringing, previous relationships, or prior therapy? Your tone should be casual, respectful, and curious. “What’s it like to have nothing in particular to say?” you might ask. “Does this happen in other areas of your life?” “What impact does it have on you?”

2. Carefully observe clients’ reactions to your manner of relating and respond accordingly.

This may seem obvious. Aren’t we all on the alert for our clients’ emotional reactions to the ongoing process of therapy? But here I’m talking about looking for delicate, usually nonverbal, cues about the “temperature” of the session—largely an intuitive process.

Joseph was a young man referred because of his serious substance abuse, depression, and suicidal thinking. As we talked, he described a lifelong history of feeling that he’d had “difficulty fitting in,” along with tirades about the evils of “society”: people were “sheep,” who allowed themselves to be herded around by venal, self-serving politicians; people selfishly thought about meeting their own needs, with little concern for the greater good. My attempts to search for personal connections consistently met with argumentation. It was too painful for Joseph to acknowledge that his childhood with insensitive parents didn’t reflect the whole of society. I’d ask him in what way these “social” issues personally impacted or reflected his life, only to be assaulted with his criticism that my question proved his point—that I wasn’t concerned with the overall good of others, but was only selfishly interested in the individual. Whenever I spoke of my concern that just engaging in tit-for-tat dialogue made it difficult for me to help him, or said anything that indicated I cared for him, Joseph became visibly uncomfortable and responded with cynical and sarcastic remarks.

I used these reactions as a cue to search for a different way of relating, hoping to connect with a less defensive aspect of his character. Given his low tolerance for emotional experience, I turned down the heat on anything remotely emotional and changed my language from comments about “my concerns” and “his potential” to concrete remarks about keeping a “productive focus” and “meeting established goals”—less like therapy and more like a motivational business meeting.

I noted a reduction in tension and resistance almost immediately. The less effort I made to connect personally, the more Joseph relaxed and allowed connection. By going slower, we arrived faster. Eventually, Joseph became comfortable enough that I could gently confront him with the need to make a choice between “having fun”—engaging me in argumentative banter—or actually meeting his goals for therapy.

3. Closely monitor your clients’ anxiety level.

The best barometer of therapeutic responsiveness is clients’ anxiety level. Anxiety is like the tip of an iceberg. We may not know what lies below the surface, but sensitively monitoring clients’ discomfort will provide a guide for how to proceed. Alter your approach as needed to keep anxiety in an optimal range: too little and clients aren’t motivated; too much and they get overwhelmed and defensive.

Sue, a middle-aged woman with a long history of self-defeating behavior, suffered from severe depression and feelings of inadequacy. As a child, she’d been physically abused and devalued. My personality and training led me to maintain a more distant relationship, offering little of my personal self. Thus, when Sue would sink into helplessness and hopelessness, I’d explore, dispassionately, the related internal dynamics and conflicts. These explorations proved fruitless, and I noticed an increasing anxiety, frustration, and even confusion on her part. As I experimented by offering more personal reactions, I noted a reduction in anxiety and a deepening of rapport. Expressions of compassion for her suffering and admiration for her courage in addressing such difficult childhood experiences seemed to compensate for her inability to offer these feelings to herself. Unlike Joseph, who needed less therapeutic emotion, Sue needed more emotional connection than I’d been giving. She didn’t need to hide or guard herself: she needed to be understood explicitly and validated in a deeply emotional way.
In one therapy session, she reported a significant accomplishment, but was unable to experience any sense of pride or success in it. When I encouraged this well-deserved feeling, she became increasingly anxious. How¬ever, when I openly and warmly told her how proud I felt about her achievement, her discomfort immediately decreased. As I transitioned to a more affirming, explicitly validating, approach and “gave” this experience to Sue, she demonstrated steady improvement and increasing ability to experience healthy pride herself.

The more you develop a broad range of skills, comfort zones, and flexibility, the more you’ll be able to tailor your approach to the needs and styles of a variety of clients. You’ll be a master actor, able to adapt to a broad range of roles, rather than a character actor, who plays essentially the same part in every script.

Being an effective clinician means letting go of preconceived ideas about how to respond, and paying attention to your clients’ moment-to-moment needs. This attitude requires comfort with the unknown and faith in the therapeutic process. When you have no idea what to say until after the client has responded, you’ll know you’re getting the hang of it.


Article Reprinted

The Best Kept Psychotherapy Secrets

How to get help with today’s “problems of living.”

Posted Apr 23, 2018

Psychology Today

Keeping secrets is a central tenet in my line of work as a psychiatrist and psychoanalyst.   I am intimately involved with the most private experiences, behaviors, fantasies, thoughts, and desires of my patients. Keeping secrets is vital in developing and maintaining a trusting and nurturing alliance with my patients. As treatment proceeds and trust deepens, my patients reveal more, and eventually, they come to understand even the “secrets” they have kept from themselves.  Or as one of my patients frequently liked to remind me, “You are only as sick as your secrets.”

But the profession of psychoanalysis has often had a tendency to prescribe itself too much of its own medicine.  We have been so good at keeping secrets that the public does not really know who psychoanalysts are, what we do, what we treat, or how to find us!

Who are we?  

We are psychiatrists, psychologists, social workers, or academicians who have 5 to 10 years of extra training beyond our professional degrees. Psychoanalysts are educated to become experts in the “basic sciences” of talk therapy and difficulties encompassing relationships, love, and work.  These difficulties can lead to a variety of “problems of living”

This education is intense!  It involves four to five years of classroom work and weekly presentations of clinical material from several cases to different senior psychoanalysts. But the most central part of the training, and what distinguishes it from all other psychotherapy education, is that we become patients in our own personal psychoanalysis.  This is important because it offers the beginning psychoanalyst an opportunity to:

1.     Gain a better understanding of their inner psychological life

2.     Work out their personal emotional difficulties

3.     Resolve therapeutic “blind-spots” when working closely with patients

4.     Gain an empathic understanding of the vulnerability of being a patient

What do we do?

We listen in a specific manner, utilizing well-honed skills from our specialized training.  We also invite our patients to listen and observe their inner emotional life.  In a sense, it would be like looking at an X-ray of your body with a radiologist.  The radiologist’s expert training can help them identify problems that may be right in front of your nose but are not readily apparent.  You might share discomfort in your body and the radiologist could help you correlate this with the X-ray and vis-versa.  Over time, you could learn from each other and develop a good idea of what is going on inside.

What do we treat? 

We treat “problems of living.”  Although these struggles are ubiquitous, and an aspect of being human, sometimes the stresses and strains of everyday life, traumatic events, or other “triggers” tip the scales away from normal health. This can result in anxiety, depression, inhibitions, and symptoms.  Some examples of symptoms are anger, irritability, low self-worth, somatic preoccupation, lack of confidence, sexual dysfunction, problems with relationships, obsessive thoughts, avoidance behaviors, insecurity, not being able to reach one’s academic, or professional potential.

Developmentally, problems of living often first appear in adolescence or early adulthood as life gets more stressful with increased adult responsibilities such as independent living, marriage, children, careers, and other commitments.  These struggles tend to become more entrenched, tenacious, and intricate as life goes on, potentially causing angst in an otherwise good life. As a result, I advise younger people in college, graduate school, or as young professionals to consider and address their problems of living early on and in a serious manner.

In this fast-paced Twitter age, many people seek a quick fix. Who could argue or disagree with wanting more for less when it is effective? But with problems of living, short-term treatments may temporarily ease acute discomfort and symptoms but are only nibbling around the edges of more extensive workable difficulties. Unfortunately, unless effectively treated, these problems will likely repeat themselves over and over within a lifetime.

What else is important to know?

It is important to note that the profession of psychoanalysis has changed and is evolving with the times.

Psychoanalysts are all races and ethnicities.  We are men and women. We are straight, gay, liberal, conservative, and everything in between – just like our patients.

Psychoanalysts are radical!  In our fast, action-packed, social-media driven, instant gratification culture, psychoanalysts offer the radical approach of slowing things down in a private, quiet, and completely confidential setting. We help you explore and redesign your interior emotional world, yielding freedom from inner shackles.

Psychoanalysts are “all natural” with few additives! We conduct our work through the natural use of language and a close, meaningful relationship.  This is basic to being human and connects us to our humanity in such a seemingly simple yet extraordinarily complex way.  By using the freedom of talk, and listening in a particular way with a well-trained ear, we help work out personal vulnerabilities and bolster strengths.  One occasional “additive” is the use of medication, when necessary, along with talk therapy.

Psychoanalysts are a rainbow coalition, offering a psychological pot of gold for those who are motivated, courageous and have the determination and grit to take the audacious step to explore their inner life to free themselves from their restricting anxieties, depression, inhibitions, and symptoms.

Most of all, psychoanalysts care and are here to help.

About the Author: Bruce J. Levin, M.D., is a Training Analyst at the Psychoanalytic Center of Philadelphia and at the Institute for Psychoanalytic Education (IPE) affiliated with the NYU School of Medicine. He is Distinguished Fellow and Life Member of the American Psychiatric Association. He practices in Plymouth Meeting, Pennsylvania a suburb of Philadelphia.

Being Mom To A Middle Schooler Can Be The Toughest Gig Of All

April 5, 2018

Although her oldest child, Ben, is 10 years old, Andrea Scher, 44, feels like a new mom again.

Scher suffered from maternal depression after Ben was born, eventually recovering with the help of antidepressants and psychotherapy. She was understandably relieved that her depression didn’t return after the birth of her second son.

But now she’s struggling again.

Once more, Scher is having anxiety attacks and it’s difficult for her to sleep through the night.

“At 3 a.m., an electric current of fear shoots through my body, because I worry about my kids and how I am doing as a mom. My nervous system is in overdrive. I can’t believe I’m feeling this way all over again,” she says.

Scher is not alone. Many women assume that the first year of motherhood is the most precarious time for their mental health. But a recent study published in Developmental Psychology finds that maternal depression is actually most common among mothers of middle school children as they catapult into the tween years.

“Parenting a tween is harder than mothering an infant,” says Scher, who lives in Berkeley, Calif. “When Ben was a baby, I worried about his sleeping and eating schedules, but those were things I could kind of control. Now, I obsess over how much freedom I should give him when he’s playing Pokémon Go with his friends, and how I can monitor what he’s doing online. In many ways, he’s more on his own now, and I have to trust him to make the right choices.”

The study authors, psychologists Suniya Luthar, a professor at Arizona State University, and Lucia Ciciolla, an assistant professor at Oklahoma State University, surveyed 2,247 well-educated mothers with children ranging in age from infants into early adulthood. They asked the women about their personal well-being, including their mental health, parenting experiences and perceptions of their children’s behavior.

They discovered that the years surrounding the onset of adolescence are among the most difficult times for mothers. During this period of transition, women can feel lonely, empty and dissatisfied with their mothering roles. The researchers also found that compared to mothers of infants, these women experience the lowest levels of maternal happiness and are even more stressed out than new parents.

Luthar says that tweener moms reported feeling the most unhappy or depressed when their children are in middle school, but that the transition begins when children are 10 years old. Parents of teens are actually happier than parents of middle schoolers.

After the birth of her oldest daughter, Samantha McDonald, 40, experienced postpartum depression and at one point, she even believed that her baby would be better off without her. Things improved when she began taking antidepressants and seeing a therapist. But over the last few years, the stress of raising her daughter, who is now 12, has had a tremendous impact on her emotional health.

“Ever since my daughter was 10 or 11, I’ve found myself feeling sad and irritable because I don’t know how to help her fit in at school or resolve conflicts with her girlfriends,” McDonald, who lives in Sault Ste. Marie, Mich., says. “And even if I did, she doesn’t trust that I know the right thing to do, or that I can comfort her, and that’s heartbreaking. I put my career on hold because I always wanted to be a mom. It used to feel fulfilling, but now I find it unrewarding and stressful.”

It is also a time when kids catapult into puberty. Hormones surge, while affectionate hugs are replaced with eye rolls and dismissive behavior. Most mothers aren’t ready for such a seismic shift in behavior.

And the tweens aren’t the only ones experiencing hormonal fluctuations.

Psychiatrist Dr. Louann Brizendine, a professor at the University of California, San Francisco, School of Medicine says, “In addition to the hormonal swings that accompany our children’s tween years, women’s hormones are shifting as perimenopause begins.”

Brizendine says that for most women, estrogen and progesterone levels start decreasing after age 42. With estrogen depletion, women may feel less nurturing. As a result, they can feel more agitated with themselves, their partners and their children. Additionally, mothering tweens doesn’t offer the hormonal reward — the oxytocin “love rush” — that caring for little children provides.

It’s no wonder that these monumental emotional and physical changes substantially increase a woman’s risk for midlife depression.

Yet while there are many blogs, classes, books and hotlines dedicated to helping new mothers, these resources barely exist for midlife mothers experiencing the feelings that Scher and McDonald describe.

Just as a laboring mother may need a doula to help her cross into the threshold of motherhood, more seasoned mothers need external support, too — from someone who may not be able to take away their sadness, but is present to witness their pain.

Midlife mothers may have lost this foundation when their “mom friends” disbanded as their children grew older. Finding a cohort like the one that guided them during the early years of parenting can help. Luthar says that it’s important to have friends to lean on through this tenuous process because mothers raising tweens still need the same validation they once had when they embarked on their parenting journeys.

Scher is surviving this tumultuous time by opening up to her friends and asking them for support.

“Whenever I need reassurance, I force myself to reach out,” she says. “I encourage my sons to speak up when they need help, and I must advocate for myself in this way, too.”

Juli Fraga is a psychologist and writer in San Francisco. You can find her on Twitter @dr_fraga.

This Psychotherapist Has Patients Lace up to Help Them Get Back on Their Feet

March 29, 2018, from Runner’s World,

Friday, January 12, 2018, 8:56 am

By moving from the couch to the roads, she’s able to reach her patients in a new way.

Nine years ago, Sepideh Saremi barely recognized herself. As the primary caregiver for a family member battling cancer, she was dealing with depression and anxiety.In search of healing, Los Angeles-based Saremi started therapy and running. Session by session and mile by mile, she built herself back up.

Together these were catalysts for a big change: Saremi quit her content development job at a startup to go back to school to be a therapist.At the University of California, Los Angeles, she studied links between exercise and mental health, and had an epiphany: Why not combine therapy and running to amplify their benefits?After joining a private practice in 2014, Saremi tested her “running therapy” theory. She held al-fresco, on-the-go sessions that allowed patients to get outside and move, but more important, helped them to open up.

“Running is nonthreatening and comfortable for people,” says Saremi, who is also an RRCA-certified running coach. “It’s much easier to do than sitting on a sofa with somebody that you just met.”

Today, the 33-year-old has her own practice—Run Walk Talk—in Redondo Beach, and about 25 percent of her patients are therapy runners. Sessions include a 10-minute warmup, 30 to 40 minutes of running, and a 10-minute cooldown.

There’s no hard science that says running therapy is more effective than the couch; still, Saremi suspects neurochemicals released during exercise play a factor. “Endorphins can help you tolerate physical pain—and it may be a similar effect with emotional pain as well,” Saremi says.

And she isn’t the only therapist seeing results with the unconventional treatment. Other California-based practices have implemented similar methods, and see the act of running as a metaphor for emotional progress.

“We’re literally moving forward,” says Emma Bennett, a California-based therapist who provides running therapy to mothers. “We’re engaging in motion that feels productive and powerful.”

Moving forward is important to Saremi, too. With her practice off the ground, she hopes to develop a certification process for running therapists and implement it across the country.

“There are people who would never in a million years sit on a therapist’s couch,” she says, ”but they would consider running therapy.”

After a stroke, her decades of severe depression vanished

March 11,2018 —

My mother suffered from severe recurring depression for 30 years, episodes that floored her to the point of near-catatonic inertia. She was lost to us in a mire of desolation. This happened often — once a year, sometimes more. The worst episodes hung around for months and months. She endured hospital stays, electroconvulsive therapy, countless appointments with shrinks, dozens of varying prescriptions, some akin to snake oil, none a silver bullet.

Then, 2½ years ago, she had a stroke. It stole her ability to read, her ability to remember names, her right-sided vision. It also stole her depression.

Until the moment she had her stroke — a massive brain trauma to her left occipital lobe — Mum had been in a major depressive episode that had endured for two years, the longest stretch ever. Yet in the post-stroke rehab ward, I find her engaging with other patients in a way she has not done for years. She is animated — her speech, unlike her reading, quite unaffected by her brain injury — the antithesis of the lethargy that hamstrung her for so long.

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Psychology Finally Has an Explanation for Why False Stories Spread Like Fire on Twitter

Published on: Mar 9, 2018

If the past year or two has reaffirmed anything for us, it’s that you can’t believe everything you read, particularly on social media. Now experts say they’ve pinned down just how bad false stories are on Twitter, digging deep into the psychological elements fueling their rapid spread.

Research led by Soroush Vosoughi and published in the journal Science used six independent fact-checking organizations (e.g., Snopes, Politifact) to look at the spread of roughly 126,000 stories verified as either false or true between 2006 and 2017. When they analyzed the Twitter archive for mentions of the verified stories, tracing the way the information spread, they found that true news was lucky if it spread to more than 1,000 people. False stories, on the other hand, spread to as many as 100,000. It wasn’t just politics that had a problem, either. False stories spread faster than truth in every information category.

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How to (Finally) Stop Taking Things So Personally, According to a Psychotherapist

“It’s not personal. It’s just business.” How many times have you heard those words when you were smarting over a job you didn’t get or a pitch that got rejected, or a professional setback or slight? And how often have you found them unhelpful? Maybe it wasn’t meant personally but it feels very personal to you.

But the fact is, we all have to learn not to take things personally if we’re going to be successful in work and in life. And the more we can let disappointments and disparagement roll off our backs rather than letting them pierce us to the heart, the happier and more resilient we’ll be.

How do you get there? In a wise post on the Psychology Today website, psychotherapist Ilene Strauss Cohen offers some great insights into why we take things personally and how to stop. You’ll have to read the full piece to get all her great advice, but here are my favorites among her tips:

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The public role of psychoanalysts in the Trump era: ‘We live in ominous times’

In our highly politicized times, how can psychoanalysts contribute to the national discourse in ways that are both ethical and effective?

Prominent practitioners recently addressed this question and the implications of commenting on public figures — most notably President Trump — at the American Psychoanalytic Association’s (APsaA) 2018 national meeting. Their open-ended discussion last week encouraged psychoanalysts and their organizations to take an active role in contemporary political matters.

“How do we get psychoanalysts to have an impact on society in a way beyond the day-to-day work with patients and help the public understand a range of psychological phenomena, not just the behavior and psychology of a president, but of those who support him?” Kerry J. Sulkowicz, a psychiatrist and psychoanalyst, told Yahoo News. “I think mental health professionals certainly have something to contribute.”

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