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Thanks for these in depth reflections on a specific dilemma. You said:

“Sometimes therapists fall into the trap of thinking all patients are capable of deeper self-reflection or “getting in touch” with feelings, and being able to state them, given enough encouragement or facilitating; this is true for some but not all.”

I think this is a big issue i have been discovering in my own work. I use mentalization based approaches which help address assumptions about the capacity to really connect and communicate emotions. As you say also, intellectual activity can function as a way to avoid doing this.

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Thank you for your thoughtful comment.

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