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Mourning to a New Dawn
The other day a patient came into the office reporting that his mother had died only a few weeks before from a heart attack. The encounter reminded me that it's not unusual for those of us in the business of mental health to be faced with the need to console a patient experiencing acute loss. Due to the complexity and individuality of each person's experience, I try to find words that are broad enough to provide some comfort in the early days. So what might general words of

McEwen's Posts
Nov 13, 20242 min read


Psychological Space and the Holding Environment, when to pass the Tissue
Winnicott famously coined the term 'holding environment' to describe the experience of safety and support that constitutes a good therapeutic alliance with a patient. Psychological space is a phrase I have been using in recent years to capture the capacity of a patient to bear psychological tension long enough to resolve or find creative pathways to deal with matters that are troubling him or her. The following is a little vignette that emerged during a Ketamine-enhanced ther

McEwen's Posts
Nov 1, 20242 min read


Let's have a little Discipline
It is a reality that, like in all arts, the range of skill varies greatly amongst the community of therapy practitioners. One dimension...

McEwen's Posts
Aug 21, 20243 min read
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