Guest Episode
August 12, 2022
Episode 76:
Critical Therapy with Silvia Dutchevici
Listen or watch on your favorite platforms
Silvia Dutchevici is an author and psychotherapist who believes in the transformative power of psychotherapy to change individuals who change the world.
Silvia created the Critical Therapy Institute to expand psychoanalytic praxis to reflect how race, class, gender, and religion intersect with psychological conflicts.
Unlike traditional therapists, critical therapists work from the premise that the personal is political. To be more effective, psychotherapy must therefore interrogate the patient’s as well as the therapist’s worldview.
Today we will discuss critical therapy and how it is changing lives.
Okay. Good morning. Sylvia. Welcome to True Hope cast. I
really appreciate you taking the time to talk with me and talk
with us today. How are you? What is going well?
Hey, it's nice to be here. Thanks so much
for having me. I'm doing well. I am in
New York City to Sunny Hut summer day. So
things are great. Perfect. I'm glad to hear that. Well
as an introduction, why don't you let us know who you are?
And what is it that you do?
So I am a psychotherapist. I've
been practicing Psychotherapy for over 20 years
and I am the founder of
critical Therapy Institute in
New York City and more recently actually on September 7th.
Our book is coming out a book
that I wrote about our work at the clinical Therapy
Institute.
Very cool. So just as like a background foundational
stuff. What what is psychotherapy?
Psychotherapy is a method of
alleviating and helping mental health
issues and problems. It's talk
therapy and you know
in the last couple of years we've seen
there was a lot of advocacy around medication and
I'm not against medication. I think medication is
important and some people need it and some people need it
for a longer time. Some people need it for
a shorter time. But there's something about a human connection that
is important in alleviating human problems.
Also, we know that you know a recent
study just came out showing that even depression that
has been marketed by the side, you
know by the medical companies that you
know, if you pop a pill because you have a chemical imbalance and
we know that's not quite the problem again. It's
that doesn't mean that one
should not take medications. But what also needs Psychotherapy
and talk therapy to really
understand and work through issues
Yeah, I think we have a very dysregulated understanding
of the expectations of
taking an antidepressant and expect and what results
to expect and also, you know, the side effects obviously go with
something like that. And I think that I don't think all doctors are
brilliantly trained or fully understand the ramifications
of taking some of these very harsh pharmaceutical drugs
for a long periods of time, especially so obviously everything
has their place. But yeah, it's it's very interesting Dynamic and
obviously having therapies and doing other things as
well to to accompany your healing process very
very important to have this and then for
rounded experience does Psychotherapy get
confused with other types of therapies? Because there's obviously lots of
different Avenues people can take and is
that happen? Is that common?
Think so. I also think one has to keep
in mind that there are many different paths to
Healing. I don't I mean I do think obviously
I'm psychotherapist and I really believe in the
transformative that power of therapy. So I
believe most people would benefit from it. But I'm also very
cognitively aware that for some people it might
be, you know, sort of somatic therapy
or for some people might be, you know,
joining a community center. There's different Avenues to
what heals and what helps
and you think that specific for the individual on their Journey
how they learn how they listen how they're going to be able to work
with an individual and those different types of ways how
to how does somebody
Find the right therapist or right therapy for
them.
And you know, I get a lot of phone calls for people who are looking for
therapy and I often ask them. You know, what is
it that you're expecting from therapy and some people believe that
it could be like a Magic Bullet your tend like 10 sessions
and your life has changed. It doesn't
work like that. Unfortunately as I often say it took
a lifetime to get to where you are. I think it's gonna
take a couple of years to unravel and work with
what has happened to you and come to
a different understanding and change your life. I think
there are many different types of therapies out there. There's supportive
therapy where people want to have someone that they
they talk with and understand
them and support them and sort of like a sounding board,
which I think is great for people who need that and then
there is I think what we do which is transformational
therapy, which is how do you ask questions
about your life in such way that you
get to change you get to transform and you
get to lead a more
Take life. One of the things I also say to people
is that I don't think the goal of therapy is
to make you extra happy that's impossible thing.
The goal of good Psychotherapy is to
make you aware of the choices and the decisions
that you make and to lead a more authentic
life.
Interesting. I think that I mean we're
certainly going to talk about critical therapy more specifically and like how
that differs from other forms, but it sounds like
for somebody who is looking for a particular therapy that's
going to help them and they're not quite sure where to begin.
It sounds like that type that form that you've created through
your experience and education that
that's going to be able to maybe help more people on a
broad level perhaps and so that's
interesting. But so let's talk about
critical therapy and tell us about the Institute a little bit and I'd
love to know how you know, you've been
practicing for 20 years. You obviously had a lot of Education before that like
how a Cycle Therapy evolved. It's changed clearly you've
seen gaps in
the process because you've created your own you've created
your own therapy. So like obviously you've seen something you wanted
to change and you know, so how is that developed
in in your experience of you know, 20 years practicing?
So a couple of things that I've seen within the
Psychotherapy movement is that you have the
sort of clinical training and
clinical training oftentimes is
supposed to be apolitical outside of
the realities of such as
racism classes and so forth.
It's sort of it's It's practicing in
a way that you only look at someone's interest psychic
problems. Meaning. Why did your
mother treat you like that? How is your father with you? And let's
analyze how that impact who you are and then there
is another broad sort of school of thought which is
more about social justice and looking
at how societal structures impact and
affect your mental health. Unfortunately those
two very different Divergent
views never meet and as
he practicing psychotherapist,
I am painfully aware that who we
Are we are a product of our experiences but those experiences
happen within Society happen within
a culture happen within certain structures. So
critical therapy combines the personal with
the political we look at the intracycling problems
that you have your mom and how she treated you for
example, or how your dad treated you how that impacts who you
are. But we also look how those decisions that
your parents made or that you've made are always
intertwine with political realities your
access to housing your access to
education and so forth. So,
I think that that's important because a
lot of therapists, you know, they claim that
they're inviting the political or their claim that
they're looking at things such as racism sexism
and so forth, but they might be looking
at it. I don't know how much they engage in sessions with
people around those conversations.
Very interesting. So you're it's very
very different approach. It sounds like that then the
traditional Psychotherapy because it's you know,
I've never really thought about it to be honest. I've never
had like, I know I've never had therapy myself, so I'm not too. I
don't understand the process too. Well, but it makes a lot
of sense that you would take an individual's.
Circumstances in the world be that, you know, the financial
situation even to the point of like within their
communities within their groups within their families. What political
views do you have? And are you
may potentially isolated with those because that would
be a very very difficult thing to be involved in to say
if you're you know, very left wing individual and your whole society
around you is all right-wing throwing all
this information at you and this belief and even this energy that
would be a very difficult thing to be able to process and
kind of get through certainly on your own. So
it makes a heck of a lot of sense that you would bring that into into sessions.
So you completely understand that individual rather
than you know, traditional forms of maybe talking
about like what your root cause of your like trauma might
be or like where you might want to begin healing that's certainly
makes a heck a lot of sense to me and
That's very interesting that how early in like you're 20 years.
Did you start seeing the gaps in your traditional training?
Oh, I think I started seeing it,
you know mid through. I was working
at different social service agencies and I
started questioning of how much
are we actually helping people to change or are we
helping them to accommodate to oppressive systems?
Um, and I think one of the things I know is that most of
the folks who end up being therapists are
because they want to help people. Right? We we have
a deep commitment to you know, human Liberation
or we have a deep commitment to alleviating pain.
However, I think most of us the
trainings that we get in school do not
actually consider the full person the many
identities the intersectionality of who
we are and as a result, I think a lot of our
patients when they walk in they have to leave some
of those complicated identities or
stories that the door because they might fear that we're
not able to handle it.
Um, what's interesting to me is that whenever we talk about diversity and
whenever we talk about oppression, it's always through another
and what I mean by that is for example, you know,
if you're a white therapist and you have a person of color who
comes to therapy, of course, you're gonna talk about race because there's
a difference if you're a woman and you have a person
who presents his male and comes to therapy again, you're
gonna talk about that difference, but what if you're
too white folks in the room what if you're too
male identified, you know people in
that room do you talk about differences and we don't
because we don't really think that that conversation is valuable but
that conversation is essential to who
we are in the world because all these things affect us
in a very real way, you know, it's not
just something that we get to sort of revisit when
it feels appropriate to talk about difference.
How is this form of therapy genuinely
received by you know new patients that
come in on who or maybe completely brand new to
therapy or have had many different therapists and they
know they're working with you or the in this very very different fashion. And
you are asking these these questions that you know
are very much involved. How is that usually
received?
Okay, because we've been around for a while in New York City. We
have a lot of patients that come in who are social
activists you're very much into social
justice and they understand why these
questions are important. We also have people who know nothing
about that and then they walk in and are
pleasantly surprised. What's interesting
that in my experience people have been in therapy
before appreciate critical therapy more because
they actually realize what they missed out in
their first sort of round of therapy and
how some of the questions that we
pose and some of the things that you have to reckon with, right. I
really part of
that transformation if we you know, if we want to create a more Equitable
society and if we want to create a better world
everyone wants to change everyone else but
we seldom look at ourselves but change begins
at home, right the revolution starts in our home if you
want to end domestic violence, it's very important.
Fight and have policies against that but how you treat
the people in your home is just as important.
And sunny and how you treat yourself as an individual,
right? Like I think it can be very easy to
not for not easy might not be the right word, but it can be
very it can very simple for people to excuse me
go out and want to tackle very very large huge
Global problems.
But yet have issues at home, you know
within their families within themselves and
it could be I think it can be almost impossible to
be able to have quite a lot of success or get your
point across when you do have those.
Individual difficulties at home and you know, it's hard
to say like where the where the fault is there. There's obviously a lot
of societal issues in regards to education and
equal opportunity and things like that so I can
certainly be challenging.
And you know what? That's interesting because what one
of things that we always ask our patients, right?
And we ask ourselves part of critical therapies. Like we constantly
do the work you never arrive at Liberation. You
never arrive of now I am a better person and
I'm done that work is never done just like
mental health issues. Although therapy doesn't have to
last a lot Lifetime and it should not last a lifetime.
You will always have certain issues that you will work through
but one of the interesting things that that I
often ask myself my colleagues
and our patients is how do you live out
your politics?
And what I mean by politics is not necessarily who
you voted for or if you're a Democrat or but what
are your values? For example, we want to
have a more Equitable Society. Okay. Well, how do you
live that? And one of the things that we have done which has
become sort of very revolutionary and
I end up talking a lot about it is our sliding
scale. Um, what's funny about our sliding scale
is when I started the Institute I thought I was going to talk a
lot about the politics and inviting the political into
you know Psychotherapy and how that's controversial and
I ended up now talking a lot about our slime
scale because it's a good example of how do
we live out our politics? So one of the things that we
do is our session is based how
much you end up paying as a patient for each session is based
on your income and resources.
meaning everyone pays the same percentage of
their income and resources for that Psychotherapy session,
but what it also means is that you could pay
let's say as low as $50 or as much
as
A thousand dollars for that session and for people
who want to live in an equitable
society that feels right intellectually, but viscerally
or emotionally there is
a struggle and I think it's a good example of
how ideology or the values that
our society imposes on us sometimes
so ingrained that although theoretically
we might be there we might say yes. I
want to fight against discrimination. Yes, I
want to do these things but when it comes
to how you live those values and how you have to show up
differently. It's very complicated. One of
my patients says to which I thought it was great. She's like, you know
Sylvia this sliding scale. It's like
if I were to go and buy a TV that TV could
cause ten dollars or $10,000 based
on how much money I make like, yeah. She goes
intellectually that feels so right
but emotionally it is so hard.
Yeah, I think.
It must be such a challenge for certain individuals who
to really understand
what their values are really understand what their own authenticity is
and what they really truly believe themselves external of
like the other influences that come into
our lives.
and then to
go out into the world and you know be that authentic self with
those values. It can be such a challenging thing to do because you
know, especially when you take into consideration, we
have this like Echo chamber of craziness with like Twitter
and these other social media outsources where you're
never really
Being yourself and they were hidden behind. We're hidden
behind, you know our keyboards.
So it can be really challenging and quite scary thing to go out into the ground
to the world with our true authentic values. And
yeah, there must be such a challenging thing for
so many people.
And I think it's also difficult because now
we become a culture of sound bites.
You know, it's sort of it was funny because when I
Was preparing for you know doing some of these interviews and
podcasts I've been told like well
memorize these things that you have to say, like that's not
an authentic conversation and we stopped
having authentic conversations, but that's how we grow.
It's out of having Divergent opinions
and really trying to understand each other
and this is why Psychotherapy needs to also do that,
right if you cannot sit in therapy and
talk to you therapist about different opinions or helping each
other understand how you've come to believe certain things
and how are you going to do it in other relationships?
yeah, I remember my grandfather saying to me when I
was about 16 that
if you want to evolve as a man Simon you you
need to be open to being wrong like all the time
be skeptical and also being over and I never really thought
about that type of thing before because there was like a
as a teenager you're going to your 20s.
You starting again quite a lot of more Independence and you
you know have opinions and beliefs. I suppose about about
certain things and the idea especially in the UK the
idea of like being wrong was like you you should never
like open up to that vulnerability because you just
opening yourself up to attack I suppose.
But I've carried I've just carried that very simple idea with
me all along the way and it's really been able
to develop my own my own understanding for different people
and different structures and yet not allowing
myself to be so rigid and bound to
my core beliefs where I you know could be very difficult to even
recognize when those started to form.
And correct and create such solid really rigid
narrow Pathways in regards to my thinking and
my feelings and my and my behaviors. So yeah, I
just I just wonder how and how so
many people get stuck.
with those core beliefs that are so difficult to even break
down and you know, we can certainly talk about politics and
and race and different things like that when it comes to when
it comes to those ideals that that so many
people have but I just have a question in regards to
I saw and I saw on your on
your website that you're that's sorry on
your on your podmatch page that you're talking about. Like what makes
a good therapist. So that's a good question. I
also what makes a good patient.
Well, also I want to go back to one to
add one more thing about what makes a good therapist in
my view. What makes a good therapist is someone who's willing
to challenge you someone who is willing
to make you critically look and analyze
your life what I often tell people is
if you end up going to therapy and everything's always
great. You always feel happy and you leave there.
Like wow this was talking to my best friend then either
a you don't need therapy. You probably need
a best friend or be you're not doing the work.
Interesting and when it comes in your experience working
with patients.
Is it a combination of helping people heal
and go through what's happened
to them and why they might think feeling behave in
certain ways.
Or is it about creating tools
for those individuals to use in
a certain situations that come up for them in society in or even
on their own in their own world where they
see those challenges that they've needed to seek out
support. So is it yeah, it's about it's about creating tools
or is about like that that healing that that
root issues.
It's both I think therapies is a
very unique experience. It's also very unique relationship that
you end up having with someone. It's about being
seen it's about having a witness to
your life and understanding what has
happened to you. So it's both in understanding what
has happened to you and in critically looking at your life
and asking questions, you actually develop the tools.
I think one of the things that that we have to keep in
mind is that therapy is a collaborative process and to
use Paulo freire's example of education.
So there's the banking model of therapy just like there's the
banking model of education meaning. I'm
the therapist or I'm the teacher and I give you
all these tools and information. It's sort of like when you
deposit money right in a bank and then you have
these resources. However, we know from
education and I believe from how we practice and
therapy that's not really helpful mostly because
you're not actually
Counting for the individual in the room and their life experiences
and the fact that they're really experts in their
lives because they've lived their lives my job
as a therapist is to ask the right questions
for you to get to the answers and for
you to develop those tools. So every session is
going to be different all those tools are going to be different from
person to person. So there is the actual tools
that you gain by being in therapy and in
addition the very Human Experience of
sharing your story with someone
of being seen of trusting again, most of us
who end up going to therapy.
End up there because of something traumatic that
has happened to us. And that is a human connection
that has gone wrong or disappointment. And
in order to trust again in order to have faith in
the world. You need to do it with someone.
Absolutely. Yeah, I think I wonder like how
most people that come in to see you. It could
be just on a broad spectrum here. But do do
you find that people come into your door and seek you out when
they're kind of like the the last limb
like like they're really the, you know dealt with
this trauma for so long and they just can't deal with
it anymore or do they recognize that I've got
something going on here and it's kind of like early early afterwards
the the traumatic thing that's happened. Do you
see people all across that belt?
Yeah, I think it's also this is it's
such a great question because now in in
the wake of this covid and
the pandemic a lot of folks are struggling with mental
health issues and yet as a society, we
have not done a great job to say it's okay
to seek help.
We claim that we have a Mind Body
Connection and that we value mental health,
but we actually don't if you look
at in the US, for example, if you look at how insurance companies
treatment or health treatments and
how much they want to pay for it. We know they don't value it.
Um, and our society has not
reached the point that it makes it okay for
people to seek help especially for example, if
you're you know a man or if you're someone
who you know has this idea like I have to be strong as
as if somehow your mental health
Wellness is a character flaw rather than
oh, I just broke my knee or I need to
go therapy to fix my arm. So I think
unfortunately for some folks because of that because of the
stigma it takes them a long time to come to therapy. It's
when no when nothing in their lives works
anymore that they're like, I have reached that break
and I need I would do anything. So now I'm going to do this.
Um, and for other folks who are more well-versed or
know enough about Psychotherapy they
end up coming earlier on I also
want to say that and this is why the personal is always
political a lot of these decisions are tied to
money for example, or access to
therapists or where you live. Do you even have
a mental health professional in your community that you
could go to? So it's it's it's very complex
and complicated because some
folks might actually want to reach and see
a professional and they can't
Yeah, it's it's a struggle for a lot of people and yeah,
so it sounds like that the majority of people who do come in to
see you who are probably going to see most therapists. They're kind of like the don't
see anywhere else they can
turn to and going to see a professional to you know, really help them
out. It's usually the kind of like the course
of course of action here in regards to your particular,
you know, the this critical approach how has
that been received by like the conventional Psychotherapy community?
The some folks are well, welcome
it. Some folks are a little wary about
it. So I've actually been pleasantly surprised
that people are interested in it. Um,
and so I would say it's good and I
also know that we there's going to be a
backlash right one of the things that I was afraid of when you
know, this book is coming out on September 7th, and
I'm like, okay. I know there's going to be negative reviews that's
just part of the dialogue and I hope that there will
be
Reviews that might help me challenge myself and
think about this differently again we go back to how do we grow? It's
by constantly being able to assess and
reassess our values our theories and so
forth.
Yeah, I think that's a very important approach to especially when you're
putting something out into the world that you know, you've you've cultivated over
experience and you've seen that there's a
maybe a gap and that was not really a gap. It's like how
can this therapy approach evolve and
change and you know and serve better. So yeah,
I think that being open to those negative reviews
is gonna be very very beneficial.
And I do believe there is a gap and
I think there's a gap for people who are seeking therapy in
a way that's transformational but
more importantly in a way that it come encompasses
who they are, right? There's so many
identities that need to
be analyzed and looked at
how it impacts who we are in the world you and I
are very different, you know, just as I sit here and we're talking
you have a very different experience than I do and that
is going to impact who we are. It's also
going to impact how our therapy would look would look
like. It's not a cookie cutter we have to do it this way
and we can't change one of the things
that happens sometimes in psychoanalytic institutes is
that
Change happens very slowly and what I
often say to people is if we did surgery
the same way. We did it a hundred years ago it.
Probably wouldn't work. So I think we always have to seek
out Innovation and to seek out what
works and what doesn't and our best.
The the people who give us our best advice I think is ultimately our patients
because they challenge us they
tell us what works
and what doesn't I also think to go back
to your question. What makes a good therapist. I think it's important throughout
the journey at some point to ask your patient. How
do you feel about this relationship? What works for you? And
what does it
Um, you know, yeah, certainly well what he tells
it a bit more about the book. It's critical therapy power and Liberation in
Psychotherapy, right? So why no, obviously
there's no you've written the book because you know,
very obviously very passionate about it. You see that there's this Gap
so why why did you initially write it and
you know, who's an ideal reader do you think for the book?
I am going to do a Zine about critical therapy.
And this is why the reasons the book has illustrations.
So I paired up with an illustrator and
we started you know doing what is critical therapy. What
are the tenants and then as we slowly started working
together we discovered we had like 50 something
pages and like this is no longer a scene. So
it ended up being a very short book. Um,
and I thought it actually makes sense to
release it. Now as it's our 10 year anniversary this year
and the book highlights some of our work
at The Institute in some of our series, um,
it is aimed for people who are therapists
or in the mental health profession. However, I
wanted it to be accessible to everyone because
I would like for people who are seeking therapy
to be able to read it and to actually go their own
therapists and say I would like for us to do more of this or
how come we never talk about that and I
also think with anything
Um, if you have a theory or
if you have something important to say it is so important to make
it simple.
You know as opposed to you know, credentialing yourself
and writing this great book that only four
people read it and you feel like wow, I've accomplished something.
So I did want this to be accessible because
I think that's important and in light of
where we are currently we are in a state
of Crisis regarding our mental health right in the
US, but I think it's worldwide. I mean, we've lived through a pandemic
where most of us were anxious that we
might diet any moment. So I think it is the
time for people to seek therapy. But at the
same time while they're seeking it to ask themselves, what do
I need? What do I want for my therapist? And is this
going to produce a transformative experience for
me?
Yeah, I love that. It's clearly written as a an educational
piece, you know putting theories out there and it's
written for a therapists potentially,
you know.
Open up their practice a little bit more to you know learning about
what you guys are doing and how that's different and how that's
supporting people in different ways. But also for patients who I
think would be so beneficial if you're able to
as a patient and you're seeking a seeking a therapist, you'll see seeking
an actual type of therapy that might benefit you being able
to read this book to understand.
how that might support that individual
that just makes so much sense to me in regards to being
able to find that right person for
me because getting the right therapist is super important. You could you
know, you can I'm sure that within Psychotherapy it's
not like you're gonna go even visit 20 different
therapists and it's gonna be exactly the same right? It's gonna be
you know, who do you connect with? How do you create that therapeutic relationship that
trust that Bond and I believe
that probably has to happen quite soon maybe in the process.
so yeah, it sounds like it's a very very beneficial read
for patients therapists are like
yes, and
I all think I often say this to people who come and seeking
therapy. If you've never been to therapy before
I actually encourage you to go to two
or three therapists for a consultation just to see
the difference. It's sort of like dating. I hope we
don't marry the first person we end up dating and at
the same time what's also unique about our model
is we feel it's important that the therapist
also chooses the patient. So in traditional
Psychotherapy or especially if you end up
going to clinics or social service agencies because
they don't have a lot of clinicians you end
up being paired up with someone and there you
go. Sometimes as a patient you don't have much of a choice.
We only have Susie as a therapist good luck on or
sometimes as a therapist is like, well you need to work
with this person. Although you feel it's not a good match. So we
feel it is very important that this is
a pairing of two individuals who feel they could
work together and that it will be a
Relationship that will benefit both of them right
now. Of course. It's not the role of our patient
to help therapists. But I think it's important that your
therapist feels like they are
they could be useful and this will be a working relationship
rather than oh, I just have
to see you because you got assigned to me, you know.
Do you think that a lot of psychotherapists because you
mentioned earlier in the conversation about be you
know being open to being challenged and if you're gonna be challenged
by your patient or suppose as a therapist, you
have to ask hard questions, you have to start digging
deep you have to you know, really start opening things up and I
suppose maybe after somebody's been a therapist
for a long period of time that could be that could be quite difficult thing to consistently do
because that's quite energy that's quite energy
sapping to you know, get into those get into
those really deep conversations and you know, the things
to get potentially volatile even within a therapy tech
setting, you know, I suppose a lot of really good breakthroughs or
healing or whatever you want to call. It happens when things are energetically volatile.
Do you think that there's maybe some
complacency with within therapists to
stick with the model that they've learned and practice
for decades and all do you
think that you know part of the psycho therapy?
Education is to really get into it and to be really and to
be to be challenging.
well
I bet they want to get into it and be challenging un
fortunately think
most rules for example, you know the schools I went to they really
don't teach you how to do that. It's more
about how to be a supportive therapist how
to maintain boundaries, right? But what I feel
and and in social work in particular is that when
we talk about boundaries, it's almost like this defensiveness
against intimacy. I don't think
we have figured out in social work school as a
clinician and as a society, how do we
love someone and also have boundaries I think
part of the problem is because this idea
of love God co-opted into a transactional sort
of relationship of I give
you this you give me this it's also so much rooted
and romance and you know capitalism and
consumerism. I want to consume you. I want to have
you as opposed to a genuine love of
another person another human being who gets
to see you and who you get to see so because of
that it's hard to challenge.
Were patients when you've been told maintain a distance have boundaries.
So I think a big
part of that is that therapists need to
reassess and learn how one can have
boundaries and also be present and also care
for their patients in a very real way. Yeah, that
sounds difficult to go in with, you know, with kind of
like rules of the process and not be
able to you know, dig deep into certain areas because you never know what's really
gonna come up. I'm sure every single session is wildly different
even within the same with the same patient. So
that sounds yeah, that's that's interesting that you know, you would
have those obviously there's there are boundaries that regards to
like relationships with your patience. Like that's that there you go.
That's a good example there, but then like, you know, not talking about
politics or not talking about race or talking
about those things. Like they are Hot Topics they are
Written unbelievably relevant in everyone's life. So
like why would you not talk about those things but
In regards to your education and
then 20 years of experience and you know writing a book.
What do you think the key skills you have learned
within the within your actual practice
that have been separate for that was missed very
much missing from your education. Like what would you
what would you say to that?
The first one is how do you combine the personal
with the political? How do you you know,
how do you deal with empowerment? What's
fascinating to me? Is that especially within
the social work field? We talk a lot about empowerment how to
empower people but we forget that no one empowers
anyone people Empower themselves. And in
order to be empowered especially if you have been
disempowered and if you had little power
in your life, you have to Grapple with power. You
have to a serpent you have to take it and I
think one of the things that critical therapy is
doing and was one of the tenants was
that we have a deep analysis of power, but
it's not just power in the world about who you
are and you know where you are but it's power
within the therapeutic relationship and it's
power within what happens
in the room and outside of the room, for example, if you
and I met in therapy, you know,
Are our power dynamics? What is your history, you know
position you in a certain way and what are the Privileges that
you have? And what are the Privileges that I have? And also
how do those things interact in our relationship? So
one of the things about powers that
it exists in every relationship, but we tend to
think it's a bad thing power can be a bad
thing. But Power can be a good thing. But we forgot that we we
tend to and especially as mental health providers. We're
so afraid of saying we have power it's like no I'm just helping people
but we actually have power over people's lives
and with power comes to responsibility. So
we have to be aware of it and we have to constantly ask
ourselves. How am I using this power in my
clinical hour to help someone and to help
them realize their own relationship to power
and their own ability to be empowered.
Yeah, that whole power piece. Probably a lot of people might consider
that to be like, you know, I'm up here you're down
here in in the relationship, which is just not not right I
mean power is
It's strong. It's powerful. It's going to you know, it's going to support people
to do great things and it's
obviously not obviously not a negative thing, but I
suppose, you know, the power dynamics. I suppose that we have within our
cultures and our societies that can creep
into the into the therapy process. But how you how you
express that power and how you obviously utilize it and
use it.
Is a very powerful piece with you know work with working with patients.
And in my experience is when we don't talk about power on
or when we pretend not to have it that we get
in trouble.
Yeah, that's that's inauthentic to you know
to not talk about it and not realize that it's there and you
know how we can actually use it to to push us forward.
Yeah, certainly. Well, so the book tell me that the books did
you say September 7th? Yes, it comes out and
how can you be you could we have some local
bookstores? We also are an
Amazon and Barnes and
Nobles and all the major retailers. But we
also wanted to make sure that we're in local bookstore
because again, we want to live out our politics. We can't
just you know, go through Amazon and say Amazon is evil
but here and you know, we're not
purest right one of the things I've learned about doing this work is
it's important to live out your politics and it's important to know
that in order to survive in this Society. We always
have to compromise
Yeah, absolutely. Yeah, there's very very real reality with
things like that. And so how can people connect
with you learn more about what you do and what
the what the critical therapy
is and and ultimately, you know get links easy links
to find the book.
Sure. So if you go to our website critical therapy.org, you
will find a link to the book. Also, if
you go on Instagram, I am
on Instagram Sylvia didkevich, which is
such a crazy name. I should have chosen something else as
my Instagram account. Um, but I think the
best way if you end up going to the critical therapy website,
you could also contact us. You could email
me and so forth.
I think at critical therapy would be quite a good Instagram handle. So,
you know, thank you. I think I need to do that.
Awesome. Well, I really appreciate you coming
on the show today and talking about critical therapy.
I think it's very very interesting and I'm so happy
that there are individuals like you that are looking
at conventional structures conventional education
and you know pushing it forward and evolving and using
your
practice using your practice in your experience with people one-on-one
over a 20 year period to better serve
those people going forward and you know, hopefully maybe not in
a hundred years people were talking about your therapy and
then evolving it even further. Oh, thank you so much. I
hope so and I hope that you know, people will read
this book and demand more from their therapy and
clinicians will actually ask themselves
how they can practice differently in a way to alleviate
pain and to create a more Democratic Society
ultimately, right? Absolutely. I
think the what if more people can advocate for
their own mental health all their own physical health with their doctors or
with their therapists. I think that just it's just gonna create more power
within the dynamic there. So yeah tools
like this books like your therapies like yours approaches like yours certainly
gonna be able to put those put that
put that energy into people's hands.
Thank you. Awesome. Well, thank you very much for joining
me again. I'm gonna make sure that all your information
those links are in the show notes that people
can connect with you. But yeah, thank you so much
again Sylvia that
Thanks so much. And also I've been asked to ask you
this about when will the show air so we could
also posted our on our website and so forth. It'll
go and a few Saturday's time, but I'll
you know, I'll tag you in the right places and I can email out
everything for you as well. So you can share that with your audience as well.
Really appreciate that, that would be great. Thank you so much. Excellent. Well,
thank you for listening everybody. Really appreciate
you doing that. If you're listening on iTunes, don't forget to leave a
review. I'm gonna put links in the show notes if you want to connect, but
thank you so much for listening to True hopefully official
podcast with true hope Canada. We'll see you next week.