Wise Counsel Podcasts

Ellen Walker, Ph.D. on Living Child-Free. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Psychologist Ellen Walker, Ph.D. is the author of the book, Complete Without Kids: An Insiders Guide to Childfree Living by Choice or by Chance, written in reaction to her own decision to forgo having children and consequent awareness of many people who have made the same choice. Social pressure to have children cause this choice to be stigmatized unfairly. In response, she uses the term childfree rather than childless to emphasize that the choice to not have children can be a deliberate decision and not an absence. Childfree adults can be organized into three categories depending on their motivation to become childfree: deliberate choice, happenstance (where the person might have been happy to go either way) and circumstance (where the option to have children was blocked). Though there are many advantages to not having children (i

Alistair McHarg is the author of the 2007 memoir of life with Bipolar Disorder, "Invisible Driving". Started as notes designed to record the experience of his third major manic episode, the book became a means of communicating the manic experience to people who otherwise could not relate. McHarg's family is predisposed to bipolar disorder with both his father and two half brothers sharing the diagnosis. The three major manic episodes of his life (interspersed with more low level hypomanias and depressions) have followed in the wake of severe stressors. in his twenties, an episode occured in response to his being arrested and jailed on drug related charges. Sixteen years later, a second major episode occurred in response to the sudden and unexpected event of his wife divorcing him. The third episode occurred in the wake of being laid off from his work. The title of the book "Invisible Driving" comes from a practice he invented while manic this third time in which he dangerously drove his car bent over o

Dr. Grof, a psychiatrist, transpersonal theorist and noted researcher of psychedelic experience, first encountered LSD as a young doctor working in Prague when the Sandoz company asked him to see if the compound had any psychiatric utility. Personal and research experience with LSD and its effects (including visual hallucinations, pre-natal and transpersonal memory and expansive, disembodied consciousness) profoundly changed his worldview away from the mainstream mechanistic view to a vision of the universe as essentially conscious. He began to recognize the reality of perinatal and prenatal memories and the transpersonal/archetypal realm (as first identified by Jung). He researched the use of psychedelic drugs as therapeutic tools and yielded positive results with reports of long lasting pain remission across varied populations. Later, when psychedelic research became outlawed, he developed alternative techniques for accessing transpersonal experiences including holotropic breathwork. In his understanding, t

Michael R. Edelstein, Ph.D., a Clinical Psychologist and REBT therapist is a protogee of Dr. Albert Ellis, one of the key founders of the modern cognitive behavioral therapy movement. Though today largely overshadowed by Dr. Aaron Beck, Ellis described the basic ideas that continue to inform cognitive behavioral therapy (CBT) years before Beck started down that path. Dr. Edelstein's book Three Minute Therapist is a restatement of Ellis' important ideas for non-therapists who are interested in using these techniques as a mode of self-help. The REBT scheme is often described as the ABC theory, where A stands for an activating event, B for an irrational belief brought to mind by the event, and C for the undesirable emotional and behavioral consequences that stem from the irrational belief. The application of REBT (and all cognitive therapies) is designed to help people identify their irrational beliefs and then scrutinize and dispute them to see if they are based on anything substantial. As irrational belie

Katherine Ellison on ADHD. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Ms. Ellison, a Pulitzer Prize winning journalist, is an adult with Attention Deficit Hyperactivity Disorder or ADHD, and the mother of a son who also is diagnosed with ADHD. She has written a book, Buzz, about her experiences living with and coming to terms with ADHD in herself and her son. Ms. Ellison reports she has always been a restless and easily bored person. She gravitated towards journalism in part because it offered her an opportunity to work in a highly stimulating, rapidly changing environment which fit her need for constant novelty. Though decorated for the quality of her work (for her 1980s era coverage of the Marcos dictatorship in the Philippines) she was also prone to make mistakes and several times was nearly sued for inaccurate reportage. As a younger person she was skeptical about the validity of ADHD and critical of parents wh

Dr. Bryan discusses his suicide prevention research which has been shaped by his experience as an Air Force clinical psychologist in Iraq working with active duty soldiers. Dr. Bryan recommends training soldiers in problem solving techniques as an effective means of suicide prevention. Though soldiers typically reject efforts to talk about mental health issues, they are generally open to learning more efficient means of coping and problem solving. This is often best delivered as leadership training so that military commanders can be the ones to teach effective problem solving skills. Leader's ability to identify problems before they become crises and to show respect for soldiers morale also emerges as important protective factors.

Former CEO of the Autism Treatment Center of America Raun Kaufman was the first recipient of the Son-Rise program, developed by his parents in response to his childhood diagnosis of severe autism. Though his diagnosis was presented by doctors as incurable, the Kaufmans, who had recently engaged with the 1970s human potential movement, remained hopeful with the understanding that if they decided the situation was hopeless, it would become so. They engaged intensively with their son, joining in and participating with his autistic repetative behaviors (against medical advice), seeking to create rapport. As Mr. Kaufman began attending to and engaging with his parents, they then used that hook to challenge him and teach necessary interpersonal and communication skills. Today the son-rise program offers an alternative to the dominant applied behavior analysis model which seeks to treat autism by first addressing the autistic child's difficulty forming relationships rather than their odd behaviors. The Center o

Liana Lowenstein, MSW on Play Therapy. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Adult-oriented psychotherapy is talk-focused, making it inappropriate for children who are for developmental reasons less able or inclined to be able to talk about emotional difficulties. Play therapy involves a therapists systematic use of structured games and play activities to bond with, assess and treat children's psychosocial issues. Play activities allow children to approach their issues indirectly and (often) in a physical, primarily non-verbal manner. Play activities are orchestrated by the therapist according to one or more clinical play therapy models (e.g., this is not simply play but instead real therapy). Lowenstein describes several named therapeutic play activities variously designed to elicit discussion of feelings, elicit a ranked list of worries, or to enable children to act out their issues using the sand-tray or do

Dr. Ceren has devoted her clinical career to developing a systematic program for providing effective premarital counseling, a niche that presented itself after working with troubled couples and recognizing the need for a prophylactic approach to identifying and addressing likely causes of incompatibility prior to marriage as a method of improving marital satisfaction and reducing the need for divorce. Currently, premarital counseling is emphasized in pastoral counseling settings such as the Catholic Church. Dr. Ceren would like to see an expansion of such counseling, however, such that marriage licenses could not be issued without participation. She has developed a 10 session program wherein partners individually fill out personality and relationship questionnaires and then share findings so as to identify and address areas of incompatibility. Though opposites attract, couples with similarities fare better in marriage according to Dr. Ceren. Conflict is not an issue, although the couple's ability to achi

Joseph E. LeDoux, Ph.D. on the Synaptic Self and Memory Reconsolidation. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Entering psychology by way of marketing, Dr. LeDoux chose to study animal brain mechanisms of fear after becoming disenchanted with the overly broad concept of the limbic system and frustrated by the difficulties associated with the study of human brains in that era (e.g., modern brain imaging techniques did not yet exist). He applied an information processing approach to this work (wherein mental processes like memory and attention are attended to; not emotion or other subjective mental contents). He became well known after demonstrating that auditory signals indicating danger were independently transmitted by the thalamus (a sub-cortical switch of sorts) in parallel to both the auditory cortex and the amygdala. Because the route to the amygdala is physically shorter, animals are thus able to respond

Procrastination, defined by putting things off, falling behind, and then feeling badly, is a normal behavior but one that can cause real problems when taken to extremes. It can present as a symptom of depression or anxiety or perfectionism. it's remediation can help create a sense of relief or respite from these other conditions. A first step in addressing problematic procrastination is to raise awareness that procrastination is occurring so that it becomes more of a conscious choice rather than a simple reflex. Next, it is helpful to understand the motivations that cause the behavior, which vary across different people. Some people procrastinate as a simple short-term means of avoiding having to do tasks they find aversive. Others avoid due to social evaluation fears or self-doubt. Others procrastinate due to poor organizational skills and difficulty accurately estimating the time it will take to accomplish a goal. Procrastination can also occur as a practical means of social manipulation (such as wh

John Doe Transformed in Prison. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. His first years in prison were a continuation of his earlier experience; he continued to use drugs, later giving them up for exercise as a means of self-protection. He met a woman visiting the prison and formed a platonic friendship with her. When she became pregnant (by another man) he formed a relationship with her child. This experience helped him to realize that the purpose of life is found in relationships. About ten years into his sentence, he shifted from a motivation to "do something crazy" so as to secure his "lifer" status within the prison (apparently something experienced as comforting by prisoners) to wanting a life outside the prison. Also about this time he was tricked into participating in a substance abuse treatment program involving a good deal of psychotherapy which he found very valuable. He dealt with chronic neck pain

Long-term PTSD often co-occurs with independently diagnosable and treatable sleep disorders including insomnia and apnea. Dr. Krakows research suggests that many chronic insomnia patients also have undiagnosed apnea like conditions they are not aware of. He frequently prescribes an imagery technique for treatment of nightmares called Imagery Rehearsal Therapy or IRT. In IRT, patients are taught that nightmares are habitual learned behaviors and therefore modifiable. Patient are then instructed to change their nightmares however they wish and to practice this between sessions. The technique is associated with symptom relief. IRT has no exposure therapy component, but Dr. Krakow does think incorporating one might be helpful. Other sleep disorders are treated using appropriate techniques including use of breathing assistance machines such as adaptive servo-ventilation (ASV), which PTSD patients more readily tolerate than CPAP. Imagery techniques are taught as distraction devices to help patients cope wit

Hanno Kirk on End of Life Care. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Hanno Kirk, LICSW, Ph.D. had a successful Army and political policy career before deciding to retrain as a social worker and focus his career on end-of-life care. In the United States, the dying process has become highly medicalized such that some 80% of people die in hospitals (contrasted to 80% of people dying at home 50 years ago). Death has become more hidden and taboo than in the past, and younger people have little experience with it. Several consequences of this shift in how people die are that people put off planning for their own dying process, failing to set up advanced directives, and that dying people are offered more interventions designed to prolong their lives, often without careful thought as to how these interventions will affect the quality of life remaining. Life extension is a fine goal for otherwise healthy people, but w

Sharon Rivkin, a Marriage and Family Therapist and author of Breaking the Argument Cycle, argues that in most cases, repetitive conflict within a relationship occurs when partners' deep-seated family-of-origin issues cause them to misinterpret one another's behavior as more of a personal attack than it really is. Ms. Rivkin's central insight is that a couple's first argument, usually still vividly remembered but distant enough in time to be objective about, is a fertile laboratory for unpacking and identifying what the core issues driving conflict are. To break out of a repetitive argument cycle, partners must become aware of their individual root issues underlying their arguments and then use this knowledge to become more compassionate towards themselves and their partner.

Dr. Strunk, a cognitive-behavioral therapy researcher, describes results of his recent psychotherapy research. Specifically, he has examined the contributions of two aspects of the psychotherapy process, rapport (or the quality of the relationship between therapist and client) and technique (or the consistency with which the therapist sticks to teaching core cognitive therapy principles within therapy sessions, and found that, given a pool of reasonably competent therapists (some masters and some journeymen), there is a direct relationship between the consistent teaching of cognitive techniques and early symptom remission, but not really a relationship between how well therapists and clients think of each other and symptom remission. Dr. Strunk is quick to point out that rapport would likely have become more important if therapists taking part in the research had been seriously lacking in rapport building skills. He emphasizes that both cognitive therapy for depression and medication therapy for depression

Joshua B. Lerner on the History of Object Relations Theory. Object Relations Theory is an important development of psychoanalysis which is widely supported today within the psychoanalytic community. The term object is really a stand-in word for people, as the theory really speaks to the importance of how a person's early relationships, particularly with caregivers, strongly influence their psychological development. The importance Object Relations Theory applies to early relationships is in contrast to Freud's original conception of child development which was understood to be more biologically or instinctually driven. In this Wise Counsel interview, Joshua Lerner, a social worker and psychoanalyst, talks about the historical development of Object Relations Theory; its origins with analysts like Melanie Klein, and how it developed over time under the influence of other analysts including Winnicott, Balint, Fairbairn, and Bowlby.

Secure attachment helps people survive temporary bouts of pain, discomfort, doubts and distress, and helps them reestablish hope, optimism, and emotional equanimity. Securely attached parents are able to protect children from parental grief (by keeping it private between parents), and to offer children their freedom but in a manner that conveys support rather than indifference or anxiety. Insecurely attached parents tend to polarize in terms of their coping, becoming either more indifferent and detached or to deny the importance of the bond, or conversely, more hyper-vigilant, worried and anxious in such a way as to magnify the importance of the bond overly, conveying dependence and a message that separation is harmful to the parent. Parents' secure attachment allows them to both support and to let their children go simultaneously, whereas their insecure attachment ends up burdening children, either by conveying their unimportance to the parent, or their over-importance.

An Interview with Wilma Bucci, Ph.D. on Psychoanalysis and Cognitive Science. Bucci views the fundamental nature of the mind to be revealed in the partial interaction of the various brain systems. Another way to say this to note that the most fundamental thing about consciousness is dissociation, which can be adaptive or dysfunctional, depending on its causes and how it plays out. Adaptive dissociation occurs when we are having a peak experience that we cannot put into words (stuff that poets try to capture), or when we are driving a car and able to operate the stick shift. If we try to narrate what we need to do to ourselves (e.g., to understand the motor memory in verbal terms), we are likely to mess up our ability to function on this subsymbolic level. Dysfunctional dissociation happens when the various parts of the brain which should be talking to one another so as to support our ability to function become, for whatever reason unable to talk to one another, resulting in emotional dysfunction and avoidan

Meg Hutchinson on making Music and Bipolar Disorder. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Dr. Van Nuys interviews accomplished singer-songwriter Meg Hutchinson about her music and her life with Bipolar Disorder. Ms. Hutchinson experienced her first substantial depression at age 19. While bipolar is normally associated with swings between depressive and manic mood episodes, Ms. Hutchinson experienced mostly depressive states until her late 20's in the aftermath of her beloved grandmother's death at which point she had her first experience of mania, then profound depression, then a mixed state, then depression again, this time severe enough that hospitalization was required. It was at this point that her condition was officially diagnosed. In the years before her diagnosis she was fairly secretive and defensive about her episodes, viewing them as par for the course for an artist, or due to some physical conditi