Psychiatry & Psychotherapy Podcast Nancy McWilliams on Mental Health, Transference and Dissociation
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Mar 3, 2023 
Renowned psychologist-psychoanalyst Nancy McWilliams discusses mental health, transference, and dissociation in therapy with emphasis on safety, self-awareness, and therapist-client relationships. Topics include the impact of neglect, benefits of sports for ADHD, addressing dissociation, embracing patient anger, societal expectations, empowerment through personal responsibility, hypomanic traits, denial as a defense mechanism, and dialogues on therapeutic practice and learning.
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Defining Mental Health
- Mental health includes a sense of safety, agency, and continuity.
- It involves realistic self-esteem, affect tolerance, acceptance of reality, and the capacity for love, work, and play.
Mental Health in Relationships
- Healthy relationships involve honesty, repair, and acceptance of imperfections.
- They also include devotion to the other's well-being, gratitude, and the ability to communicate needs.
Categorizing Mental Health
- Neurotic individuals can collaborate on internal conflicts, while borderline individuals struggle with differentiation and intense reactions.
- Psychotic individuals experience confusion between internal and external realities, often exhibiting self-referential thinking and annihilation anxiety.