This is the most brilliant and interesting thing I have read for more than all year, thanks I hadn't heard about this; he also gives a fantastic masterclass for how to talk about the need for model change in a compassionate way which keeps his professional credibility. Lots of pointers for me talking about ADHD
Clinical utility ie individualized personality descriptors used in the service of treatment ought to precede generalizability. You asked some really specific and interesting questions. Thanks for your efforts.
I had a hard time with the assessment that the “(antagonistic) person presents a very different challenge because they are more likely to question the therapist, to say the homework is pointless, and to bail at the first sign that difficult emotionally laden material has entered the consulting room.” Employees (DV/cult survivors too) can spend years seeking service for coercive control and ostracism. They can be labeled antagonistic when they are not understood, given homework over psycho education and asked to inappropriately engage in emotionally laden material rather than acknowledge the harm they have endured and labeled with a PD.
Doctor Aftab is very thoughtful and Laiq always conducted a informative discussion to understand the personality disorder concept. The nosolgy and pathology explanation of personality disorders needs to evolve, clinically and therapeutically, discussion of alternate models is the positive approach
This is the most brilliant and interesting thing I have read for more than all year, thanks I hadn't heard about this; he also gives a fantastic masterclass for how to talk about the need for model change in a compassionate way which keeps his professional credibility. Lots of pointers for me talking about ADHD
Clinical utility ie individualized personality descriptors used in the service of treatment ought to precede generalizability. You asked some really specific and interesting questions. Thanks for your efforts.
The tension between clinical utility and empirical validity is an important source of conflict in psychiatric diagnosis.
I had a hard time with the assessment that the “(antagonistic) person presents a very different challenge because they are more likely to question the therapist, to say the homework is pointless, and to bail at the first sign that difficult emotionally laden material has entered the consulting room.” Employees (DV/cult survivors too) can spend years seeking service for coercive control and ostracism. They can be labeled antagonistic when they are not understood, given homework over psycho education and asked to inappropriately engage in emotionally laden material rather than acknowledge the harm they have endured and labeled with a PD.
Correction in comment above:
Doctor Aftab is very thoughtful and like always
Doctor Aftab is very thoughtful and Laiq always conducted a informative discussion to understand the personality disorder concept. The nosolgy and pathology explanation of personality disorders needs to evolve, clinically and therapeutically, discussion of alternate models is the positive approach