Searching for root causes

Uncovering a straightforward cause-and-effect relationship is a relatively rare occurrence in clinical practice. Given how the mind works, it is much more likely that the causes of a symptom will be convergent and complex. Many experiences (in childhood, adolescence and adulthood) will create memories (accessible, partially accessible or inaccessib

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1. Some therapists have an overly reductive understanding of psychiatric diagnosis. They seem to think a diagnosis of mental disorder necessarily implies there is some intrinsic brain abnormality. They think if someone’s symptoms can be explained with reference to a history of abuse or trauma, then a diagnosis doesn’t apply to them. The logic is so in

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We look for the underlying, hidden causes of events. We try to figure out the nature of things. It’s not just that we human beings can do this; we need to do it. We seem to have a kind of explanatory drive, like our drive for food or sex. When we’re presented with a puzzle, a mystery, a hint of a pattern, something that doesn’t quite make sense, we

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