Rachel Gibbons description of 10 years as a consultant psychiatrist in the NHS 👏👏😔 tandfonline.com/doi/full/10.10…

When thinking about a paranoid projection always spare a thought for the introjective process. W.W.Meissner - Psychotherapy and the Paranoid Process.

"If one can be a loving parent to oneself, one can more readily accept the separateness of objects. This is a momentous step in psychic development." Modell 1968.

Winnicott's very clear 1963 definition of what holding the patient means.

Simple but acute.. "The projective process is in the service of confirming, reinforcing, sustaining and validating the prior introjective constellation around which the patient organizes and sustains his sense of self" W.W. Meissner - Psychotherapy and paranoid process.

Procrastination is defeated perfectionism. Kevin Leman.

"The Paranoids security rests on being persecuted." Sullivan and the Paranoid Process.

The Autistic part that needs certainty..

The use of psychoanalytic neutrality as a shield of denial. Hanna Segal - "Silence is the real crime" 1987.

If you feel guilt you can make reparation, if you feel the shame that you are inherently bad, the only reparation that can be made is through self annihilation. Christiane Sanderson.

Fathers and fathering... trtogether.com/event-recordin…

The idea that antipsychotics do not provide clinically meaningful benefits in acute treatment of psychosis is so disconnected from scientific & clinical evidence that I consider contorted arguments for it as a proxy for one’s ability to engage in supercharged confirmation bias.

Shame is an evolved form of separation distress in which there is a sense of exclusion from humanity through worthlessness. Corrigan, Elkin -Cleary 2018

"It is the feeling of danger in committing himself and abandoning doubts about another that prevents the obsessional from falling in love". The psychodynamics of doubting from the Treatment of the Obsessional Personality. Leon Salzman.

"Sometimes when the perpetrator lives in our minds there is no room for the original inhabitant"... A.Psychiatrist.

Dropping a corrective emotional experience into a traumatic memory is one of the most profound things in psychotherapy.

Sometimes the corrective emotional that the psyche seeks is carried out externally as the most horrific crime/act. Primary process becomes external reality.

3 pages of Fairbairn giving both barrels all the way back in 1939 !!