I wrote yesterday about how, at the weekend, I was involved in an hour and a half's deep emotional conflict resolution with an old friend that was witnessed in a group by another eight people.  As pretty much always, in the feedback that emerged over the next twenty four hours, different people reported very different reactions to what they had seen.  I still (after forty years involvement in a wide cross section of psychotherapy groups) find it jaw-dropping the sheer variety of what different people feel & think when observing absolutely the same event.  However, it seemed that most of those who spoke were deeply moved and respectful of what we'd done and how well it had worked out ...

I've been in a peer "psychotherapy group" residential retreat again recently and I was involved in an interaction that has crystalised a series of thoughts about potential "emotional armouring" in therapists that I've been aware of more vaguely for some time. And in fact these "suspicions" involve not just psychotherapists, but also doctors and leaders more generally as well. Happily there are great advantages of this emotional stability & resilience, but I believe there can also be very genuine personal & interpersonal costs. So what am I talking about here?

I'm a big fan of Self-Determination Theory (S-DT).  For me it's one of the best ways into understanding flourishing and wellbeing.  I use the ideas all the time in my work and in my life.  The fine S-DT website at Rochester University in the States gives vast amounts more information.  I've mentioned S-DT many times in this blog - see for example the post "Self determination theory" from five years ago that gives links to the slides of a lecture I gave on S-DT and a whole bunch of relevant handouts.

"It is one of the most beautiful compensations of life, that no man can sincerely try to help another without helping himself."  Ralph Waldo Emerson

"We who lived in concentration camps can remember the men who walked through the huts comforting others, giving away their last piece of bread. They may have been few in number, but they offer sufficient proof that everything can be taken from a man but one thing: the last of the human freedoms - to choose one's attitude in any given set of circumstances, to choose one's own way."   Viktor Frankl  

I wrote an initial post yesterday on the very interesting recent Lancet paper "Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment resistant depression: Results of the CoBalT randomised controlled trial".  In today's post I want to give a little more context to this trial and a bit more detail about the patients treated and the treatment used.

I read a lot of research. When I find an article of particular interest I download it to my bibliographic database -

I wrote an initial post on "New research suggests ... focus on strengths rather than weaknesses" a couple of days ago.  I discussed various reasons for thinking that better matching of patients to more personalized treatments could be helpful (although difficult) and looked as well at several research studies that have explored possible benefits of focusing treatment - particularly early in the course of therapy - on patient strengths rather than their weaknesses.