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Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

121: Ask David — Do You Believe in Freud's Notion of Secondary Gain? Is Seasonal Affective Disorder (SAD) Real?

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

David Burns, MD

Clinical, Therapy, Anxiety, Psychotherapy, Depression, Health & Fitness, Cognitive, Mentalhealth, Mental Health, Behavior, Education, Self-improvement, Psychology, Relationships, Addiction, Happiness, Personalgrowth

4.4856 Ratings

🗓️ 31 December 2018

⏱️ 48 minutes

🧾️ Download transcript

Summary

Answers to Great Questions from Listeners Like YOU!

  1. Dylan asks: Do you believe in Freud’s “secondary gain,” in which patients resist change because they benefit from their symptoms?
  2. Juleann asks: Is Seasonal Affective Disorder (SAD) a real thing?
  3. Ismail asks: Should I use the Daily Mood Log just when I’m upset, or at the end of the day, or when? Do I have to stop what I’m doing when I get negative thoughts so I can write them down and work on them?
  4. Abe asks: What about negative thoughts that are valid? For example, I was interested in astronomy and physics as a teenager, but my SAT scores showed I had no aptitude for a career in these areas.
  5. Kevin asks: Can positive flooding be used to change the object of our desires—for example, our sexual desires, like the man in one of your books who had lost sexual interest in his wife?
  6. Valentina asks: Where do cognitive distortions come from? Our parents? Our genes? Societal messages?

 

Transcript

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0:00.0

Hello and welcome to the Feeling Good podcast.

0:12.4

I am your host, Fabrice Nye.

0:14.7

And joining me here in the Murrieta Studios is Dr. David Burns.

0:19.0

Hi, David.

0:20.0

Hi, Fabrice.

0:23.8

Dr. David Burns has been a pioneer in the development of cognitive therapy, and he is the creator of the new team therapy. He is the author of

0:30.2

Feeling Good, which has sold over 5 million copies in the United States, and has been translated into

0:35.5

over 20 languages. He is an emeritus adjunct clinical professor

0:40.0

of psychiatry at the Stanford University School of Medicine. Welcome to episode 121 of the

0:46.8

Feeling Good podcast and today with another episode of Ask David. Hello David. Hello, Fabrice. We're a few miles away from each other.

0:57.8

And we have been having some listeners sending us questions, and they've been kind of piling up

1:04.2

lately. So it would be a good idea today to go through some of those questions. Here's what I

1:10.0

have in front of me. The first one is from

1:13.5

Dylan, who's asking you, do you believe in Freud's secondary gain in which patients resist

1:21.1

change because they benefit from their symptoms? You can chip in on this one two February, because I'd love to hear your take on it.

1:32.3

Sure.

1:33.3

But certainly there are people for whom that's true.

1:37.3

If somebody is coming to a therapist to get treatment, but also wanting the therapist to fill out a form, which

1:48.3

gives the person disability payment, certifies them for disability.

1:52.0

This is felt to be an ethics violation, a conflict of interest, because if the patient

1:58.4

is coming to the therapist to get money for depression,

2:03.5

whatever the claim is that you're disabled for,

...

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