Doorknob Comments was named for a phenomenon that sometimes happens at the end of a therapy session, when the patient may mention something important and riddled with conflict, right as you’re walking out the door. Equal parts frustrating and enlightening, it surfaces key issues which may--or may not!-- get addressed anytime soon.
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Doorknob Comments was named for a phenomenon that sometimes happens at the end of a therapy session, when the patient may mention something important and riddled with conflict, right as you’re walking out the door. Equal parts frustrating and enlightening, it surfaces key issues which may--or may not!-- get addressed anytime soon.
In this episode, Grant and Fara are joined by Dr. Alexey Tolchinsky, a clinical psychologist, adjunct professor at George Washington University, and clinical fellow of the International Neuropsychoanalysis Association. He works with neurodiverse patients and young adults struggling with life transitions. Today, they discuss his peer-reviewed research, namely what he refers to as narrative fallacy in psychotherapy. Dr. Tolchinksky explains what he thinks are the dangers of narrative fallacy in psychotherapy, how it plays out between therapists and patients, and ways that we can consider re-thinking ingrained narratives in the therapeutic encounter.
We hope you enjoy it.
In This Episode
[0:00] Introduction
[1:30] Episode Overview
[04:40] Alexey's Journey into Clinical Psychology
[6:10] The Concept of Narrative Fallacy
[13:10] Narrative Fallacy in Clinical Setting: ADHD and Anxiety
[21:15] Achieving Patient Wellness
[24:50] Data vs. Theory-Driven Practice
[28:40] Applying Narrative Fallacy in Therapy
[34:30] Static and Dynamic Diagnostic Tools
[44:40] Potential for Dynamic Tools in Therapy
Resources and Links
Doorknob Comments
https://www.doorknobcomments.com/
Dr. Alexey Tolchinksky
https://montgomerycountypsychologist.com/
Dr. Fara White
https://www.farawhitemd.com/
Dr. Grant Brenner
https://www.granthbrennermd.com/
https://www.linkedin.com/in/grant-h-brenner-md-dfapa/
Doorknob Comments
Doorknob Comments was named for a phenomenon that sometimes happens at the end of a therapy session, when the patient may mention something important and riddled with conflict, right as you’re walking out the door. Equal parts frustrating and enlightening, it surfaces key issues which may--or may not!-- get addressed anytime soon.