Episodes

Among the many losses in this current pandemic is the loss of the ability to leave one’s home and go out into the public world without paranoid anxieties. Even the measures we take to protect ourselves and others e.g. masks, social distancing, etc., are triggers reminding our brains and minds that we should be careful, cautious, and vigilant. The result is a flooding of our systems with stress hormones and a great deal of tension and distress. People today are suffering from a lot more than the ...

Among the many stressors that are causing psychological suffering during the current quarantine is the sense that there is no end in sight to the various deprivations that we’re all living with. In this sense, reality mirrors the logic of the depressed mind which always suffers in the belief that one’s current distress will always be there, that the present predicts and determines the future. The feeling that the restrictions with which we’re living will go on “forever” adds a special topspin to...

Donald Trump is committed to being a victim. He is always being misunderstood and subject to unfair treatment by the Democrats, media, and “deep state.” The psychological function of holding oneself out as a martyr is to reassure oneself and the world that one is not guilty or ashamed, that one is innocent. Secondarily, however, victimhood enables one to continue to do hurtful and bad things. It’s like a “get out of jail free card.” Since one is being victimized, anything goes; any hostile or ag...

Most people dislike the commercialization of Christmas. Impossibly unrealistic appetites are stimulated and happiness is equated with giving or receiving just the right commodity. There is also a more personal psychological dimension to this corruption. I explain how, since gifts are symbolically equated with love, the wish for perfect love is stimulated and then inevitably frustrated. This brings up trauma from childhood in which one’s wish to be special and perfectly understood and recognized ...

In this podcast I show how many of psychological dynamics that I’ve been discussing this year—especially those involving the role of trauma in development—apply in my own personal life. I do so by reading an essay I wrote 10 years ago called “Saying Goodbye” for a collection called The Face In the Mirror: Writers Reflect on Their Dreams of Youth and the Reality of Age, edited by Victoria Zackheim. The essay is about saying goodbye to my terminally ill father for the last time. For the text of th...

When someone feels aggrieved, that person is usually feeling betrayed and helpless and often responds with envy and anger. Trump voters often felt a sense of grievance about being left out and left behind – economically and culturally. This feeling generates envy and a need to blame others, in their case, liberals and people of color. It’s important to empathize with Americans who feel that the system has given them a raw deal and who identify, as a result, with similar messages they get from Tr...

Patriotism, the connection to transcendent notions of the nation state, can be used for political purposes. It draws from childhood needs for attachment and security. Conservatives in the U.S. have been more effective in this effort and have used images of the “demeaned Other”—racist and ethnocentric stereotypes and dog whistles—to satisfy the longing people have to belong to a community.

Poverty and harsh social environments make people physically and psychologically sick. Among the many reasons for this is that economic privation directly triggers our stress response system which causes harm to our brains and bodies and leads to maladaptive “solutions” like alcohol and drug addiction, depression and narcissism. Of special importance is the fact that inequality itself causes stress through producing enormous “status anxiety” in everyone but especially in those near the bottom of...

The scenes at the southern border last year evoked grief and outrage across the political spectrum. But why were these stories so much more provocative than the equally tragic stories of children in poverty or living in families that routinely neglect them? The answer has to do with the universality of attachment needs. All of us harbor feelings of loss growing up and we vicariously protest against them in our reactions to border separations. In addition, the fundamental innocence of children ev...

Based on his extraordinary autobiography, Born to Run, I offer some reflections on the psychology of Bruce Springsteen. His life long struggle with depression was a result of chronic strains and traumas in his childhood home. He responded to this emotional wasteland with a fierce determination to separate and an unusual ability to focus on his career. In addition to getting help via psychotherapy and medication, Springsteen was ultimately healed by the love of his wife and children. In his music...

I present my work with a woman who was constantly suicidal for a year, frequently phoning me from the equivalent of “the ledge.” I felt overwhelmed with guilt, worry, and responsibility. I eventually was able to understand what was going on and how to help her. She was turning “passive into active” and testing me to see if I would be as traumatized by caring for a suicidal woman as she felt with a suicidal mother. I passed her test by confronting what was going on in a way that helped her identi...

I review three aspects of Trump’s psychology—First, his need to lie all the time in order to ward off humiliation, Second, his inability to separate his personal and public lives, and third, the ways that his need to denigrate women comes from his fear of them. All three dimensions of his psyche are worsened by the pressure of Impeachment and the resulting threat of failure and humiliation.

Sexual fetishes refer to situations in which someone is sexually aroused by either an inanimate object or by a part of someone’s body or personality. They include such sexual interests as high heeled shoes, leather, and particular body parts as well as qualities like youth or independence. At the heart of fetishism is objectification which functions subliminally as a way of negating, counteracting, or disconfirming the repressive weight of feelings of guilt, worry, and responsibility that often ...

Therapists seem to routinely blame parents, particularly mothers, for everything that goes wrong in a child’s development. Following WWII there was a rise in so-called “child experts” (like Benjamin Spock) who laid responsibility for development at mothers’ doorsteps. But if looked at objectively, it’s important to remember that a child is utterly dependent on parents for psychological survival, for a sense of reality and morality. The relationship may be two-way but it is fundamentally asymmetr...

Trump Fatigue refers to the experience of being beaten up and enervated by President Trump’s paranoid and narcissistic behavior. The fatigue results from having to constantly fight against feelings of helplessness and the experience of being gaslighted. There’s nothing we can do about the fact that Trump poisons the airwaves and social media. We have to, instead, compartmentalize and focus on what we can control—namely, mount a political response to get Trump out of power.

There is a popular misconception about “spoiling” children. This belief is that the spoiled child is overly gratified by parents who can’t say no, a problem that results in the child growing up to be an entitled and self-centered adult. In fact, such children are being deprived of what they really need, namely, parents who are empathic and who recognize them as unique individuals. Such experiences are gratifying, not being given too many things. Some parents do suffer from an inability to say no...

Trump, Republicans and the NRA always speak out about the problem of mental illness following a mass shooting, obviously a distraction from gun control and, lately from the problem of white supremacy. But they are hypocrites or liars. I present seven things that anyone committed to the early detection and treatment of severe mental illness should support. It is obvious that such programs are more likely to be cut by conservatives, thereby giving the lie to their apparent concern for the mentally...

Psychotherapy is hard to study. It’s particularly hard to study what it is exactly that helps people in therapy get better. Some schools of thought, like psychoanalysis, are uncomfortable even declaring therapeutic aims to be the primary consideration of the analyst. I argue that outcome is the only thing that should matter to us, as therapists, and that there are few universal principles of technique that we can rely on to judge whether or not something that we’re doing is helpful or not. Thera...

The Happiness Trap is a self-help book written by Russ Harris and is based on the ideas of Steven Hayes who developed Acceptance and Commitment Therapy, or ACT. ACT is based on the premise that our attempts to fight or flee from uncomfortable feelings create most of our problems. Our culture, too, is filled with images that suggest that the good life is one without any distress. This is impossible and our attempts to subtract any and all forms of unhappiness are doomed and leave us unsatisfied. ...

Psychotherapy can be understood as the process by which the therapist and patient work to disconfirm the pathogenic beliefs that the patient acquired growing up, beliefs that cause the patient to feel distress. One of the central ways that this occurs is through testing. There are two kinds of tests—transference tests and passive-into-active tests. In transference tests, the patient experiences the therapist as if the therapist was a problematic parent. In passive-into-active testing, the patien...

People act against their own self-interest all the time. This is the stuff of psychotherapy. But people also vote against their own best interests. For example, white working class Trump supporters have not benefited from his Presidency and, in fact, many of them have been hurt. Progressives have to use a deep type of empathy to understand such self-defeating political behavior. Many white working class men feel left behind in the rush toward automation and globalization, and experience governme...

The past is always alive in the present. In particular, all of us regularly repeat our important childhood relationships in our current life, especially with people upon whom we’re dependent or who have some form of authority. We call this transference. When it appears in psychotherapy, it can be a road map to understanding the forces behind a patient’s current life—and current difficulties. It can be used for good, but also for bad purposes. Therapists and teachers use it for good. Cult leaders...

Most of us think that the goal of life should be happiness. We define happiness as the opposite of suffering and act as though if we can only get rid of the bad “stuff”, we’ll be left with only the good. The problem is that this is impossible. Some type of suffering is wired into living, whether it involves the inevitability of physical decline, disappointments in relationships, and/or painful feelings of some kind. Instead of fetishizing happiness, we should strive to live our lives aligned wit...

Cynicism is a plague in our society. There is a personal psychological dimension of it and a social or political version. On a personal level, cynicism is the belief that the way things are is the way they’re supposed to be. People complain about their lives but, at the same time, believe that they have no freedom to change any of it. That’s cynicism. On a social and political level, the belief that the world is somehow hardwired to favor the rich and screw everyone else, while partially true, i...