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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?

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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.

With me, they tended to give calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history.

Everyone assumed that meant I was good at dealing with difficult cases, and must have read a bunch of books about how to defuse crises. Then a few days ago I stumbled across the Reddit thread Has Anyone Here Ever Been To An LW/SSC Meetup Or Otherwise Met A Rationalist IRL? I’ve always believed psychodynamic therapies are mostly ineffective, and cognitive-behavioral therapies very effective, because all my patients seem to defy the psychodynamic mode of having having weird but emotionally dramatic reactions to things in their past, but conform effortlessly to the cognitive-behavioral mode of being able to understand and rationally discuss their problems.

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.

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