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Kyiv Institute of Gestalt and PsychodramaKyiv Institute of Gestalt and Psychodrama
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    • About KIGiP
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    • How we train
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A Few Observations on Psychotherapy, After the Aphorisms of Thomas De Quincey

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A Few Observations on Psychotherapy, After the Aphorisms of Thomas De Quincey

  • 04.09.2026
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A psychotherapist has their own ideal of what a therapy session should be. Most likely it will not coincide with the client’s idea of it.

A therapist’s tolerance rests not on arrogance but on an understanding of human weaknesses as creative adjustment in unfavourable circumstances.

Guilt and grief instinctively hide from public opinion. The decision to seek a psychotherapist’s help demands the courage to go against traditions and customs.

There are depressions that come from the unbearable, unrelenting pain inflicted by one’s own conscience. Usually this pain is strongly repressed, and it takes time for it to show itself.

Resentment almost always implies someone’s guilt. These are two experiences that mark a break in confluence. For the other mechanisms of interrupting contact I have found no stable predictors.

Because of their social role, a psychotherapist must be an all-encompassing person, treating people of high birth and low, the educated and the uneducated, the guilty and the innocent alike. This is possible except in circumstances where the therapist is themselves a participant in the client’s traumatic events.

The concept of the stone-hearted (schizophrenogenic) mother in the aetiology of schizophrenia was not confirmed. But it added tears to the grief of mothers through the social ostracism to which they were subjected.

I have seen several “psychotherapeutic wells” into which, in the haste of diagnosis, all the greatness contained in people was thrown. They were: hysterical neurosis, larvate depression, sluggish schizophrenia and so on. Now it is borderline personality disorder.

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