QC

yeah sex is good but have you ever tried helping a friend cry about how he feels responsible for his dad's death and - this is the crazy shit - how he *needs* to feel responsible for his dad's death, because otherwise the world doesn't make any sense and god is a piece of shit

coherence therapy calls this "symptom coherence" - taking the stance that every thing you do that drives you nuts makes deep sense once you get the underlying emotional reality that's driving it. it very cleanly articulates something i've been grasping at for years and years

this book is the most chad book on therapy i've ever read, there's literally a part where they say "coherence therapy is so effective you might run out of clients; in that casewe suggest having more courage and integrity" check it out: https://www.amazon.com/Coherence-Therapy-Practice-Training-Spiral-bound/dp/B00RWTOTC2 …

I feel like ISA is the way to go

what is that? googling didn't get anything obviously relevant

oh sorry - it's an income sharing agreement. The idea being that current psychotherapy practice has the wrong financial incentives: you benefit from clients staying with you as long as they're solvent. This flips it on its head.

"This same thinking can be applied to other service providers like doctors. Currently, doctors are paid the same amount (all else equal) whether they succeed or not in a life-saving surgery...