The Theory of the Crunch: Holding Difficult Dynamics in Therapy

In today’s episode, Preston and Margaret discuss the psychotherapy paper The Theory of the Crunch, by Paul Libby, a psychoanalyst. In this episode and in the paper, the idea of creating a containing environment, repetition compulsion, and ways of navigating difficult interpersonal dynamics are discussed. In this episode, a more expansive, compassionate frame will be introduced both for the therapist and patient to understand how to make it through confusing and sometimes painful clinical work. 

Paper: The Theory of the Crunch by Paul Libby Russel: ⁠https://www.proquest.com/openview/c5d466aa2f6d7bcd126f98b6591861f7/1?pq-origsite=gscholar&cbl=32944⁠

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Produced by Dr Glaucomflecken & Human Content
Get in Touch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠howtobepatientpod.com⁠⁠

Chapters:
00:00 Our Problem Not Yours
00:23 Podcast Intro And Paper Tease
01:30 Icebreaker Loosening Up
04:46 Calling The Elephant
06:08 DBT Dojo Skills Focus
10:33 Starting The Crunch Paper
18:04 Defining Parameters And Crunch
26:22 Containment Holding Environment
31:43 Relational Self and Containment
33:31 Corrective Experience Reps
34:12 Staying Steady Under Attack
36:58 Why Insight Isn’t Enough
40:19 Metabolizing Interpretations
42:55 Defenses and Healthy Narcissism
46:13 Containment Choices and Meaning
50:29 Spiral Growth and Wrap-Up

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