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User dgerard wrote about meeting me in 2011, saying: His superpower is that he projects a Niceness Field, where people talking to him face to face want to be more polite and civil. I should admit nobody else has mentioned anything like this, and that narcissism biases me toward believing anyone who says I have a superpower. And the more I examine this, the more I realize that my results are pretty atypical for psychiatrists.The only person I’ve met with a similar Niceness Field is Jimmy Wales from Wikipedia…when people are around [Jimmy] talking to him they feel a sort of urge to be civil and polite in discourse 🙂 I’ve seen people visibly trying to be very precise and polite talking to him about stuff even when they’re quite upset about whatever it is. There’s something I’m doing – totally by accident – to produce those results. Paranoia is a common symptom of various psychiatric disorders – most famously schizophrenia, but also paranoid personality disorder, delusional disorder, sometimes bipolar disorder.But any improvement I made was incremental at best.My colleague is a bubbly extravert who gets very excited about everything; I worry that to match her results, I would have to somehow copy her entire personality. I found myself doing well with overly emotional patients, the sort who had too many dramatic meltdowns to do therapy with anybody else.” And later, my supervisor was reviewing one of my therapy sessions, and I was surprised to hear him comment that I “seemed uncomfortable with dramatic expressions of emotion”.I mean, I am uncomfortable with dramatic expressions of emotion. As a therapist, I’m supposed to be quiet and encouraging and not show discomfort at anything, and I was trying to do that, and I’d thought I was succeeding.
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There are a bunch of good stimulant abuse cases in the literature that present as “patient’s boss said she was unusually standoffish and wanted her to get psychiatric evaluation”, show up in the office as “well of course I’m standoffish, everyone in my office excludes me from everything and is rude in a thousand little ways throughout the day”, and end up as “cut your Adderall dosage in half, please”. NPR has a good article, A Life Without Fear, describing some of what they go through: Kids and adults with Williams love people, and they are literally pathologically trusting. Researchers theorize that this is probably because of a problem in their limbic system, the part of the brain that regulates emotion.
(“Why is that psychiatrist telling me to cut my Adderall in half? There appears to be a disregulation in one of the chemicals (oxytocin) that signals when to trust and when to distrust.
A few years ago I had lunch with another psychiatrist-in-training and realized we had totally different experiences with psychotherapy. As per the textbooks, there should be a climactic moment where the patient identifies me with their father, then screams at me that I ruined their childhood, then breaks down crying and realizes that she loved her father all along, then ??? ” or “Maybe you feel like screaming at me right now? So I figured the textbooks were misleading, or that this was some kind of super-advanced technique, or that this was among the approximately 100% of things that Freud just pulled out of his ass.
We were both in the same training program, studying under the same teachers. In particular, all her patients had dramatic emotional meltdowns, and all my patients gave calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history. I wish I could get my patients to have dramatic emotional meltdowns. I tried, I even dropped some hints, like “Maybe this reminds you of your father?