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2 Jul 2025
Why AI “therapy” between sessions may feel helpful - but is quietly undermining real psychotherapy and change. 🧵
I am seeing more and more articles about how AI can be used to support patients between sessions. This is why this is a bad idea:
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Jun 11
On Psychoanalysis and Perversion 🧵
In psychoanalytic language, perversion does not simply mean unusual sexual behaviour. It is not a moral category, nor is it the same as kink or erotic imagination. The question is what psychic function does the act meet?
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Jun 11
A contemporary psychoanalytic view avoids moralising. The same act may be playful and integrated in one person, while rigid and defensive in another. The question is not “is this normal?”, but does it deepen relatedness or defend against it?
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Jun 11
As with everything when working with the unconscious, the focus is not on the What, but on the Why.
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Jun 9
On mourning versus melancholia 🧵
Freud’s 1917 paper remains one of the clearest accounts of the difference between grief that can gradually be mourned, and a more complex form of suffering in which the loss becomes lodged within the self.
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Jun 9
In that sense, psychotherapy does not ask the bereaved person to forget, detach or replace the person who has died.
It helps them mourn by slowly separating love from possession, guilt from loyalty, and memory from imprisonment.
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Jun 9
The aim of mourning is not to erase the lost object.
It is to allow the person to carry the dead, the lost, or the unlived, without being organised entirely around them.
That is the difference between remembering and being psychologically haunted.
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