Dave Keith reflects on the relationship between the “I”– our Self–and the system of social selves, a community of selves. The social selves are roles that we play. We all have multiple personalities. Personalities are context dependent.The social selves are how we are known. No one knows our core self.
Dave continues his meditation on the tensions and play between our multiple “selves”; the social, fantasy and core parts of our being–and what this means for our relationship with others.
This is a Two-Part Post: Dave: This illustration gives a picture of how the use of a psychiatric diagnosis and treatment with medication can affect a family’s living over a […]
Our current cultural model for conditions like anxiety and depression uses language like “chemical imbalance”, implying that suffering is related to our brain chemistry. In this post, Dave Keith offers another perspective that looks at our moods as dynamic states related to the context of our living patterns.
In this post, Dave shares his clinical story about a young woman with severe depression and her recovery, without the use of medications. It again reminds us about the power of relationship, and the power of creative caring.
In this post, Dave Keith reflects on how he came to understand psychosis as a symbolic expression, embedded in a person’s relationships and experiences. This offers an alternative, dynamic and life-affirming perspective on what is often considered the “destiny” of mental illness.
Anxiety is a common human emotion, one that we all experience at one point or other. Though most of us feel anxiety as a painful feeling that we want to “go away”, our anxiety in fact may be a helping us learn something important about ourselves.
“Chemical Imbalance” has become a generally accepted way to think about psychological conditions like depression and anxiety. But David Keith offers another perspective: In fact, emotional problems may be a sign of mental health.
In this post, Dave talks about his work with a depressed young female patient. Through the therapy, which “opens up a little dormant space of weirdness where we can feel more free”, this young woman’s depression lifts as she begins to experience herself in a new way.
Good physicians take a clinical history in the interest of arriving at a diagnosis. While the clinical history is a review of ‘facts’, there are in fact, few ‘facts’ about human experience. Different examiners will get different histories depending upon what they ask about. Different family members give different reports of the same set of events. In my view clinical histories are a form of fiction pretending to be ‘objective’.
The idea of being “ruthless” sounds jarring at first, until we realize how it’s an essential ingredient in healthy living, both personally and professionally. It speaks to how we maintain our integrity in the face of demands for conformity.
Therapists tend to be good at being kind and patient with difficult people and they know how to put up with their patients’ demanding and outrageous behavior. Too often the demand for good manners persuades therapists to compromise their integrity in the attempt to maintain the relationship and to make their patients feel worthwhile. But compromising integrity interferes with the effectiveness of therapeutic work.
Here’s an inside look at what makes marriage both incredibly challenging, and, potentially, the most enriching experience of a lifetime.
Dave offers his reflections about what it’s like to be a psychiatrist disguised as a family therapist. Hint: The language is different, and no medications required
Teenage “cutting”: Teenagers are often seen in individual therapy for the self-mutilating behavior called “cutting.” Here’s a family therapy approach that stopped the cutting by revealing what was behind her apparent self-destructive behavior.
The modern Child Psychiatry perspective is limited to focusing on the child, without including the family culture in which that child lives. This narrow understanding contributes to the child’s isolation. That little person is usually worried about, and trying to help, the parents. No matter how it appears.