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What is your relationship to your defenses? Can you name them? Can you name your self-destructive habits? Maybe notice where you keep feeling helpless or stuck? From a psychological perspective, defenses are survival skills that resulted from negative childhood experiences—when our external environment threatened our internal sense of safety and wellbeing, be it overwhelming feelings such as abandonment, fear/terror, feeling unloved and unlovable and so forth. In response, we created survival skills to endure destructive emotional, physical and spiritual experiences. Due to our codependence on our caretakers, our defenses truly become survival skills. The most mainstream defenses include denial, rationalization, repression, dissociation, projection, manipulation, caretaking and even humor. Although these skills allowed us to grow from child to adult, I often wonder about our relationship to our defenses as adults. A great survival skill for a child may not serve you as an adult.

SPT Magazine is pleased to announce the release of Volume 12, Number 1, 2022. If you missed any of our articles this year, you can now access the entire year in one downloadable PDF on our website.

We're pleased to share purposeful and useful insights, information, and clinical applications. Our contributors include: Genovino Ferri, Ronan M. Kisch, Darrell Sanchez, Sherry Genga, Yifan Zhang and Nancy Eichhorn.

“Writing has helped me heal. Writing has changed my life. Writing has saved my life.” These powerful first sentences of Louise DeSalvo’s Writing as a Way of Healing: How Telling Stories Transforms Our Lives immediately conveys the author’s strong belief in the curative power of writing. She posits that writing helps people recover from “thorny experiences” and can help heal those suffering from a variety of situations, from dislocation and violence to rape and racism (4). DeSalvo is a professor of English and Creative Writing at Hunter College and is the author of over a half dozen books, so her advice is rooted in her own personal experience using writing as an instrument of healing.

Intimacy from the Inside Out (IFIO) by Toni Herbine-Blank, Donna M. Kerpelman, and Martha Sweezy is geared toward psychotherapists who are seeking an alternative method for practicing couples therapy. IFIO therapy stems from Internal Family Systems therapy (IFS), a model developed by Richard Schwartz in the 1980s as an approach to working with individuals and families, then later expanded to include couples. IFIO couple’s therapy involves a two-step process of planning for the predictable universal issues that couples face and responding skillfully to other unexpected factors. Couples entering IFIO therapy often hold the two goals of feeling safe within their relationship and reestablishing intimacy. In the initial session, the therapist meets with the couple to inquire about hopes and goals, assess their ability to accept differences in each other, and then offer a perspective on the possibilities of treatment.

Sandra is one of those delightful clients who see therapy as integral to life’s journey. Now retired and in her mid-sixties, Sandra has worked on residuals of childhood trauma, health related issues, and various circumstantial and existential personal problems. I have seen Sandra through family crises, car accidents, and a variety of health related issues. After surviving each event Sandra has emerged more psychologically integrated and more spiritually connected. From day one I’ve been impressed with Sandra’s courage and her shining spirit, inner strengths that fund her ability to adapt to and overcome difficulties. However, on a certain cold, misty afternoon in early spring, Sandra came in as overcast as the day. In fact there was reason to be worried. “Things aren’t coming out quite right.” She announced, “I’m assuming you’re referring to the art project you’ve been working on.” “Not exactly.” Sandra turned her head and looked sideways under one raised brow, a nervous smile at the edges of her eyes. “Actually, it’s a bit more personal.”

Doctors generally begin their journey as eager medical students determined to change the world one patient at a time. With intelligence, compassion, and a desire to help others, medical students muster up enough drive to fight through medical school and residency, accepting the hours of work, sleepless nights, and giant holes left in their bank account in pursuit of what they believe to be a worthwhile, fulfilling profession both morally and economically. However, in Doctored: The Disillusionment of an American Physician, Sandeep Jauhar suggests that it’s difficult to maintain this view within the current medical climate because it’s dominated by the government and large corporations set out to generate income, even if it’s at patients’ expense. In this powerful and thought-provoking memoir, Jauhar utilizes case studies and anecdotes as he reveals his journey as a doctor facing what he refers to as “the midlife crisis in American medicine” and his attempts to understand why “medicine today is as fraught as it’s ever been” (15).

In Psychotherapy East & West, Alan Watts attempts to bridge the gap between Western psychological thought and Eastern ways of life. Originally published in 1961, his goal was to provide an updated perspective on Western versus Eastern psychological ideas and provoke thought and experimentation in the reader. The 2017 reprinting of this classic instills new life into Watts’ argument that using psychotherapy without an understanding of Eastern ideologies will fall short of helping one to reach a feeling of true liberation. He posited that the groundbreaking insights of influential psychologists such as Freud and Jung synthesized with the Eastern spiritual philosophies of Buddhism, Taoism, Vedanta, and yoga could liberate people from the internal struggles within themselves.

I am currently recruiting somatic therapists who have experience with hoarding disorder in their practice for my dissertation research. If this research does not apply to you, I would appreciate you sharing this information with relevant psychosomatic communities. Participants are asked to share their experience working with client(s) diagnosed with a form of hoarding (hoarding disorder or OCPD) using a narrative inquiry method of interviewing.

During the workshop, she will begin by looking at some key scientific aspects of the neurobiology of touch and how they relate to the diverse uses of touch in Biodynamic psychology. Scientific findings underpin our understanding of the use of touch clinically. She will explore an updated understanding of the place of touch in the therapeutic encounter, referencing current research on the neuroscience of touch, affective touch, attachment, and trauma using clinical examples and integrated experiential work. She will pay attention to the phenomena of embodied transference, countertransference, resonance and interference (Boadella, 1981) whilst negotiating the dilemma: to touch or not to touch, and, if to touch, how to touch. Exploring how we as psychotherapists can “hold the possibility of touch, as it can be both an appropriate or inappropriate therapeutic intervention” (Asheri, 2009 page 108).