Beginning the Treatment with Jonathan Shedler, PhD

Psychiatry & Psychotherapy Podcast

David J Puder

Science, Health & Fitness, Medicine

4.8 • 1.3K Ratings

🗓️ 16 February 2024

⏱️ 82 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr. Jonathan Shedler is well known for his work on the efficacy of psychodynamic therapy. He has highlighted the importance of the initial phase of therapy in establishing a foundation for successful treatment. Dr. Shedler strongly believes the consultation phase is crucial to developing a working alliance between client and therapist and building a treatment frame and structure. Without this foundation, there is no mutual understanding about the goal or the purpose of treatment, and psychotherapy should not move forward. Join us in this episode as Dr. Shelder discusses how to create a firm starting foundation in clinical practice.

Transcript

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0:00.0	All right, welcome back to the podcast. I am joined today with Jonathan Shedler, who has been on the podcast before.
0:20.0	We did an episode on OCPD, and we did an episode on narcissistic personality disorder.
0:25.0	And today we'll be talking about his approach to beginning the treatment. Welcome to the podcast.
0:33.0	Hi, good to be here. Good to see you again. Good to see you again. Yeah, we were joefully talking before we started about how I should open up a dating service for you.
0:46.0	We're like dating application. The most the most eligible bachelor psychoanalyst in the world, Jonathan Shedler.
0:56.0	Okay, now you're going to get some DMs in your Twitter.
0:59.0	You're making me blush.
1:01.0	Okay, here we go. So in your talk about like how you this is a great interview strategy.
1:10.0	Get your, you know, get your guest to be as flustered as possible before you get into the, you know, the content of the podcast.
1:19.0	Do patients ever do that to you? Do they like start off right at the beginning of treatment to try and do everything you could possibly think of.
1:28.0	Okay, put you on the spot. So personally embarrassing questions. If you could think it somewhere sometime a patient has done it.
1:36.0	Okay, let's let's let's talk about focus the start the start of treatment.
1:44.0	So patient calls you. They leave a message. You call back. Tell me about that conversation.
1:51.0	Do you do you handle that or do you have an admin person? I know I handle all of that myself.
1:57.0	Um, lately these days it's likely to be an email, rather than a phone call.
2:03.0	Okay.
2:04.0	And, um, so we'll start, we'll start from the beginning.
2:08.0	You know, different therapists have different ways of doing it.
2:11.0	Some people will offer a, you know, like brief, you know, free 15 minute consultation or something like that.
2:19.0	I personally think it's a terrible idea.
2:22.0	Okay. I think when you accept a patient into treatment, you're both making a commitment.
2:30.0	It's a commitment for, for both parties, the doctor or the therapist and the patient also.
	...

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