I think about this a lot, really. I feel like our basic model of therapy is entirely wrong, and treating it as a thing that individuals can do to fix themselves both ignores most of its benefits and limits the ability of the individual to actually change.https://twitter.com/GeniesLoki/status/1300736048432140291 …
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My reading is mostly from the "therapy as skill-teaching" category while the therapists I've encountered were mostly of the "disorganised hmm-listening" category, so I wouldn't say therapy "is" any one thing. It was really confusing.
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I have encountered the "relationship is the key" theory - meant to explain why the same method doesn't always work in hands of different therapists - but also replication crisis, so idk.
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on whether therapy helps at the individual level at all - I think it's much more useful to have a whole bunch of therapy skills in the water in a community than therapy is for individuals themselves.