This is the blog where counselors and therapists with the Lisbon Clinic of Therapy and Counseling (www.lisboncpc.org) write about mind issues, ideas, emotions, memories, dreams, art and life in general. You're welcome to voice your opinions. At Lisbon Clinic we value the capacity to enjoy life in spite of all its difficulties. We want to be both thoughtful and helpful.
8 Jul 2010
IS THIS COUNTRY FOR OLD PEOPLE?
I read recently in a Portuguese newspaper that according to a poll, Portuguese young people pointed to 51 years as the age when you're "old".
It also said that this number is much less than in other European country.
Such a surprising perception of when you become old made me wonder.
Puzzling, to say the least.
After much thought I came to the conclusion that maybe the parents are accountable for this extraordinary idea. And what do I mean with this? It may well be that after listening to parents, uncles, aunts etc etc complaining that retirement takes too long to come, young people decided that after 50 what you want most is to go home and not work anymore.
This is an issue in this country. Most people don't like what they do and keep complaining about it. And why is it?
I wish I knew. Poor work ethics? Demotivation? Poor bosses? Poor edicational choices? Lack of professional choices?
25 Jun 2010
CHILD ABUSE: TESTIMONIES
I have been to http://www.letgoletpeacecomein.org/ and was appalled at the intensity of the testimonies.
I also agree a therapist/counselor to a patient who has been in any way abused by an adult has a demanding job ahead him/her.
I wish some Portuguese people would also have the courage to tell their story as these people did in the site letgoletpeacecomein.
24 Jun 2010
Child Sexual Abuse

Taking the chance on the topic currently in development in our blog by our Psychologist Dr. Ana Mesquita I realized I could go on talking about this other difficult topic wich is often ignored or taken apart since the pain and hardness of it...
I've been recently receiving some cases of children, teenagers and young adults as patients, who have been victims of this problem along their childhood and adolescence and that hard reality and it's devastating consequences on so many parts of these persons lifes has really impressed me and taken me to study and think of it in a more deeply way.
Reported incidents of child sexual abuse are markedly on the rise, but the number of unreported instances is far greater, because the children are afraid to tell anyone what has happened, and the legal procedure for validating an episode is difficult.
Child sexual abuse can take place within the family, by a parent, step-parent, sibling or other relative; or outside the home, for example, by a friend, neighbor, child care person, teacher, or stranger. Incest affects individuals and families regardless of class, income, profession, religion or race. The statistics are truly alarming. It is currently estimated that one-third of all children are sexually abused before the age of 18. This includes 40% of all females and 30% of all males. The vast majority of these reports involve very young children, below age seven.
No child is psychologically prepared to cope with repeated sexual stimulation. Even a two or three year old, who cannot know the sexual activity is wrong, will develop problems resulting from the inability to cope with the overstimulation.
The child of five or older who knows and cares for the abuser becomes trapped between affection or loyalty for the person, and the sense that the sexual activities are terribly wrong. If the child tries to break away from the sexual relationship, the abuser may threaten the child with violence or loss of love. When sexual abuse occurs within the family, the child may fear the anger, jealousy or shame of other family members, or be afraid the family will break up if the secret is told.
The problem should be identified, the abuse stopped, and the child should receive profesional help. The long-term emotional and psychological damage of sexual abuse can be devastating to the child.
Children who are neglected or sexually abused are known to have lower IQs and an increased risk of depression, suicide and drug problems. Abused children are 53% more likely to be arrested as juveniles, and 38% more likely to be arrested for a violent crime. During preschool years, abused children are more likely to get angry, refuse direction from teachers, and lack enthusiasm. By the time they reach grade school, they are more prone to being easily distracted, lacking in self-control, and not well-liked by peers.
A child who is the victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or distorted view of sex. The child may become withdrawn and mistrustful of adults, and can become suicidal.
Some children who have been sexually abused have difficulty relating to others except on sexual terms. Some sexually abused children become child abusers or prostitutes, or have other serious problems when they reach adulthood.
Often there are no obvious external signs of child sexual abuse. Some signs can only be detected on physical exam by a physician.
I'll be developing this issue in the next weeks....
22 Jun 2010
What is a normal sexuality?

20 Jun 2010
Sexuality

Sexuality has been studied for centuries, the expression of that same sexuality has changed alongside with history itself, evolving in terms of meaning and liberty wise. In a long journey here morality, cultural habits and even science have a great part in the discussion and vision about the “do’s and don’ts” of Sexuality. For us to think today there is the notion of some researchers that sexual activity is very connected with our basic needs, and the sexual performance with our self-esteem. But sexuality in general is more than this, is the way one express himself as a man or a woman, with their desires, self image, the way to relate with others and many more complexities. What I propose in the next days is that we think about some of the questions that this topic raises.
14 Jun 2010
The sun is glowing outside
Summer is here, and for most of us it is great, it means beaches, light clothing, fresh drinks and ice creams. But for some of us it is aggressive, it makes us down, which for those in the first case seems very strange… What happens, in simple words, is a kind of excessive contrast between the person state of mind and the state of mind of the whole world… one feels depressed and grey, and outside the window there is a burning yellow strong sun and people are talking loud, very happy, full of plans and parties, when all one wants is to go through this day feeling the best one can. Friends would think a sunny day would help you feeling better, would cheer you up, a therapist could easily understand it, and help to figure it out. 12 Jun 2010
difficult decisions, different specialties

9 Jun 2010
Personality

Relationship with a schizotypal personality disorder
Schizotypal personality disorder
People with schizotypal personality disorder have a great discomfort in close relationships, which makes them have a lot of interpersonal problems. Because of that they often feel intense loneliness. They display a strange way of thinking, sometimes saying things that don’t make sense to others, and also behavioral eccentricities as for example in the clothing choices. They turn out to be noticeably “odd” as they sometimes think they have extrasensory powers, and magic control over others.
8 Jun 2010
Relationship with a schizoid personality disorder
Schizoid personality disorder
People with schizoid personality disorder avoid social relationships, and they do it because they feel better alone. They look for jobs which require the less contact with others. As they focus on themselves both criticism or compliments seem not to affect much, also don’t have big needs for acceptance or attention. People tend to see them as having no sense of humor or as being cold.
7 Jun 2010
Relationship with an antisocial personality disorder
Antisocial personality disorder

6 Jun 2010
Relationship with an obsessive-compulsive personality disorder
Obsessive-compulsive personality disorder

People with OCD have an extreme need for control, perfection, order, which makes them unable to be flexible, to adapt to situations and consequently they start to be inefficient. In work, it is difficult to finish a task because it is never “perfect”, and the persistence to do it again in order to achieve it frequently make them forget about the rest of their lives, family, friends. For fear of making mistakes they usually refuse to take decisions. They tend to be stubborn, and particularly rigid in their moral, ethics and values.
31 May 2010
Relationship with a dependent personality disorder

Someone with a dependent personality disorder sometimes stay in relationships with people that abuse them physically or psychologically. They depend on family to know what to do, what job to have, where to go. And their depressiveness, anxiety and sometimes even eating disorders make it difficult for a partner to deal with. When a separation does occur they feel devastated and try to fill the void with another relation.
Dependent personality disorder
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People with a dependent personality disorder have an excessive need to be taken care of, and for that they are very obedient trying to meet other people expectations - even if it means to do unpleasant tasks. They have difficulty making the smallest decision by themselves, and have a huge fear of separation from parents, spouses or even close friends. They don’t trust their own judgment, and because of that they are in need of constant help. They also have extreme feelings of inadequacy, helplessness, sadness and a really low self image.
21 May 2010
LIVING OTHER LIVES
To most of us, this is just fantasy. Psychologists, psychotherapists and psychonalysts are somehow made to live other people's lives, if not only out of empathy, that capacity to iamgine what the other person is feeling or thinking.
There is another way of living other lives: reading.
Through books and descriptions we can live what our short lives would never allow.
Do read to your children, a few pages every evening. In time, they´ll want to know more and they'll acquire the habit of reading.
And read with them lots of fairy tales. Don't give in to the nasty modern way of thinking we must protect our chidren from frightful situations the books provide. They have to live those emotions mediated by reading.
There is a great book that explains wonderfully the importance of fairy tales in children's education: The Psychoanalysis of Fairy Tales, by Bruno Bettelheim.
18 May 2010
Relationship with a histrionic personality disorder
A histrionic wants attention, and has goals, and to achieve he/she can be manipulative to sexual seduction, also by exaggerating illnesses or even by making suicide attempts. On the other hand they can also be envolved in relationships with partners who may be exciting, who offer a “good curriculum” but who do not treat them well. Concerning friendships, they believe being best friends of people who often see them as just acquaintances.
Histrionic
This quid of disorder is known by the high levels of emotion that makes them have the necessity of being the center of attention. They shift moods very quickly and exaggerate a lot on their reactions, they use frequently grandiose language to describe everything and are very theatrical in their gestures. Another difficult characteristic is that they usually change appearance, but also opinions and behavior accordingly to the ones they want to be with at a moment in time – having sometimes an unsecure idea of who they really are as a person… They live on approval and compliments, and are manipulative.
16 May 2010
NEUROSCIENCES AND LIFE
For those who can read Portuguese I strongly recommend the interview Alexandre Castro Caldas, the neuroscientist, gave to one of our main newspapers. It can be read at:
http://www.ionline.pt/conteudo/60024-alexandre-castro-caldas-tocar-um-instrumento-e-muito-util
Relationship with a paranoid personality disorder
When you are in a relationship with a paranoid, for instance a wife can be really withdrawn because she doesn’t trust anyone to speak to; a husband can be persistently questioning his wife about other men without having real reason for that. But even though inaccurate, the suspicions are not out of reality, meaning, there has to be a link, even the smallest of all links connecting the stories to reality.
Paranoid
Well, the term “paranoid” is widely used in common language, it refers to those who are deeply suspicious of others, and think that everybody wants to harm them, that’s why they have difficulty having close relationships. And rely totally on their own capacities (which are not always enough). They tend to find hidden meanings in everything. Therefore they become cold and distant. Most people with a paranoid disorder are very critical of others flaws, but unable to see their own, and very sensitive to criticism – which at work for example can be a nightmare. One important aspect is that they usually blame others for the problems in their lifes…
10 May 2010
Relationship with a borderline personality disorder

In a relationship they are very difficult to deal with because of the instability – they go from an apparent true love to true hate in a glance. And from victim to abuser. Most of the times the self-destruction makes the partner really guilty to leave, or the parent too scared to solve the situation. There is also a big fear of being abandoned, being in very intense but not necessarily good relationships, getting mad if frustrated in any way, but remaining really dependent of the partner, using all kinds of ways to prevent him/her to leave, even by hurting themselves which makes it very difficult.
Borderline

One of the main characteristics of this disorder is the instability, in such a way that you have instability in the self-image, one day they think of themselves as great others as zero; they have instability in relationships, shift of moods, and they also tend to be impulsive. People with this disorder seem to have their emotions always in conflict with the world around, and turn out to be sometimes aggressive towards others and also to themselves. And one of the main characteristics is a deep feeling of emptiness. Many times they can engage in self destructive activities, as unprotected sex, drug and alcohol abuse and driving unsafely. One other aspect is their probability of hurting, cutting themselves, an aggressive way that is explained as a way to deal with that emptiness, and their identity issues.
9 May 2010
Narcissistic

Most narcissistic see themselves as being great and for that want to be admired and to be the center of attention at all times. They have no ability to empathize with others, once this requires the ability to focus on the other instead of focusing on themselves. They tend to be arrogant with feelings of superiority, but can also be very charming at a first impression - though their relationships are usually short term because they cannot maintain them. They usually have this double standard with envy: many times they envy those around, and use them, but always believing that it is the other way around – others envy them because they are so great. When it comes to criticism or frustration they lack ability to deal with it and react with rage, humiliation, indifference or even pessimism.
For a wife/husband that is trying to share a life with such a person it can become unbearable, as everything is left for the other part to do - as for example house chores – because small and insignificant things are not for them to waste time, they are to superior for it! And one by one all is left for others to do, and without any comprehension of the unfairness and damage that it is causing to the partner. Many wife/husband portrayed their narcissistic partners as wanting a “mother/father” and a maid.
The search for the day and moment when the other will finally realize their value and that they are having too much on their laps can be too long and painful and probably that day never comes. And then we ask: what am I doing with such a person? But it is not easy. Sometimes in adolescents you also feel those characteristics, but most of the times it does not mean they have this personality disorder, it’s just a phase…
Personality disorder

In a simplified way we call “personality” to the long-term pattern of predictable and consistent reactions. If we are “healthy” that pattern has a natural flexibility to adjust those reactions while learning with experiences, understanding that sometimes we shouldn’t react this or that way in specific contexts. But when this flexibility does not exist we can be facing a personality disorder. And there are a few of them. They usually are behaviors that are not socially expected in a certain context, and that repeat themselves over the years causing suffering for the one who has it and often to those around. Many times the person who has the personality disorder doesn’t realize and doesn’t recognize their rigid thinking and behavior, being very difficult to treat.
We all can recognize in ourselves some of the characteristics of those disorders, but it is only a disorder when very rigidly, and when it becomes distressful and maladaptatives. There are a few of them… paranoid, schizoid, antisocial, borderline, histrionic, narcissistic, avoidant, dependent, obsessive-compulsive… And there are also a few controversies about calling them disorders, about the distinction between them, once some share traits. But for us here what matters is to think a little bit about the behaviors and characteristics, other than to consider a “diagnosis”.
4 May 2010
3 May 2010
EXPATRIATES AND CREATIVITY
http://lisboncpc.blogspot.com/2009/05/expatriates-and-creativity.html
DESIGN AND COLLABORATION
A friend brought my attention for this amazing Ted talk about design and collaboration
1 May 2010
New country, old problems

When economy starts having serious problems people start moving around, trying to find a better life in different countries. They search for new opportunities, better jobs and better financial situation. However sometimes they find more of the same, and with the plus of having no family and friends’ support. Other times they really find what they were looking for. Either way it’s not easy to be in a country that we don’t know, where the way you express yourself can be perceived as something other than usual – as too aggressive, or too anti-social. Being in a different country implies that you get to know and understand the culture and the “how-to-do”, so you won’t put yourself in an awkward position… If you ever talked with a foreigner that came to your country you probably heard a lot of funny (hopefully!) stories. A Portuguese friend of mine discovered in between some laughs that “rubber” in USA does not mean “eraser” as in Portugal!... A Brazilian friend arrived in Portugal and found out that we have a pastry called “queque” but “queca”, a similar word, has a very different meaning… Well, those can be funny moments, but others can be quite embarrassing.
The more different from your culture is the new country you are in, the more difficult it can be. And time goes by, and maybe you have children in a different country, and soon you’ll find out those aspects of that new culture in them. And what about if you stay for 20 or 30 years in another country, and feel your heart divided… or if you find out you were 20 or 30 years in a country you dislike…?
There is so much we can say and write about this… I believe we could have here many different stories from those who read us. There are lot of people dealing with those same questions every day and who can understand what we are trying to say, and there are also professional ones that can support you during that transition and adaptation.
26 Apr 2010
VIDEO INSTALLATION: THE ANGUISH OF THE WHITE PAGE
http://www.todayandtomorrow.net/2010/04/12/the-anguish-of-the-white-page/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+todayandtomorrow_net+%28today+and+tomorrow%29&utm_content=Twitter
Career counseling

This week I attended a conference on Career Counseling. One of the main focuses was to raise awareness to the fact that currently careers are in constant development, changes, and need of adapting and evolve. Career counseling is no longer limited to the high school choice, and no long limited by multiple choice exams. Any age is a good age to do some counseling in this area; as a matter of fact it should be done many times along our lives! Because life cannot be separated from career - if one is not happy with his/her career it’s difficult to be happy in life - as we spend 1/3 of our time (or even 2/3!) working. And, as it is my experience, doing career counseling can be a really enjoyable process of self-knowledge, talking and sharing goal’s, experiences, doubts, and individual characteristics with the therapist. I really enjoy doing career counseling!
21 Apr 2010
19 Apr 2010
MELANCHOLIA
But melancholia it's a very severe case of depression and can be a rather serious disease, sometimes leading to suicide.
The person has emotionally invested an object (usually a person but it can be also an ideal) and when the latter disappears or fails in any way the result can be catastrophic. The object is already part of the self of the individual, has taken its place in it (as Freud famously said: the shadow of the object fell upon the ego). Being very difficult to let go of the object, the person retreats into itself, indifferent to the rest of the world, not caring about anybody or anything. Apathy and self-recrimination, even self-hate, are a constant symptom.
The best known painting is Durer's Melancholia but I really think Edvard Munch's painting by the same title better represents this awful condition that can border psychosis. Have a look at both of them:
Durer
Munch
18 Apr 2010
The invention of lying
Today I saw “The invention of lying” and found to be really interesting as it makes us think about a lot of things (more than this trailer suggests…), from the obvious truth vs.lie, until religion and morality. For me the first 15 minutes were the most interesting because we always found lying a bad thing, but this portrait of an “all truthful world” is surely not very inviting… I won’t tell more because I don’t want to ruin your movie view. But I leave you with a question: would we really want to hear the all truth all the time?
17 Apr 2010
Nothing Gold Can Stay by Robert Lee Frost
Nature's first green is gold,
Her hardest hue to hold.
Her early leaf's a flower;
But only so an hour.
Then leaf subsides to leaf.
So Eden sank to grief,
So dawn goes down to day.
Nothing gold can stay.
Robert Lee Frost
14 Apr 2010
THE SALARY OF AN MBA- IF YOU'RE A WOMAN!
http://blogs.hbr.org/research/2010/04/the-pay-gap-and-delusions-of-p.html
12 Apr 2010
TRAFFIC JAM
Traffic in Lisbon – emphasis on sluggish areas from Pedro M Cruz on Vimeo.
10 Apr 2010
CHANTAL CHAMBERLAND
Chantal Chamberland: "On the street where you live".
9 Apr 2010
A silent struggle
Some say it’s too much love, some say it’s madness, but domestic violence has been a problem for years… It was not by chance that love was mentioned in the first sentence, it still exists this “urban legend” that the men/women who enroll in violent acts with their partner do it in the same proportion of the love he/she has for the one she/he mistreats. That violence comes from jealousy that comes from love, some say. But the reality is that love shouldn’t hurt this much and that being violent usually means there are unresolved issues… And, as we usually say “it takes two to tango” so when we struggle, someone has to take the first step to get a different perspective and try to understand what is going on underneath it. It takes courage for sure.5 Apr 2010
Let’s shop 'till we drop

There is something mysterious about quickly satisfying what seems at the moment a big need. We go out, we don’t know why but we see something, either clothes or shoes, or books, or technology, and we have to have it and have to have it now! In this instance we convince ourselves it’s a great need, or that it is the right moment to buy it, or that we shouldn’t but we deserve it… and for a moment we are glad, happy, in a good mood. But then we arrive home, and reality comes crashing, we shouldn’t have bought it, we don’t needed it, we didn’t think enough about it, we could use the money… and then, the happiness gives its place to remorse and a deeper sadness, more profound than the quick sense of happiness. And there is no way to explain that great sadness that suddenly arises from a wrong spending.
What happens is that probably that sadness was already there, it was the subtle voice inside that wanted so much to buy something, it was the voice of emptiness, asking to be “filled” with something. But usually, that emptiness is not solvable with material things… and builds up when confronted with that unfulfillment and frustration… and it’s sadness all over again.
Now with the rising economical crisis, it becomes more and more difficult to be able to spend money randomly – and the anxiety builds up. So finding the right solution to this problem becomes very important to those who suffer.
31 Mar 2010
Developmental psychology

Developmental psychology is a subfield within psychology which focuses on the study of age-based behavioral changes. Historically, the term has been used specifically to refer to the behavioral development of children, but developmental psychologists actually study people of all ages, looking at behavior from the womb until death. Researchers in this field can apply their skills to the treatment of children with psychological disorders, the analysis of psychological issues which pertain to criminal cases, education, elder care, and a number of other situations.
Researchers in this field primarily gather evidence through observation, with each study adding to the overall body of material in developmental psychology. Experimentation under controlled circumstances may be used by some researchers, but most focus on watching humans in natural environments and learning about the ways in which development can be influenced or altered. Since many experiments involving the manipulation of environment could involve unethical methods such as subjecting children to sensory deprivation or malnourishing infants to determine the role of diet in infant development, observation is often the only way to gather data.
Developmental psychologists are interested in the emotional, intellectual, and moral development of people throughout their lifespan, looking at everything from the age infants first respond to specific stimuli to the behavioral changes which occur in the elderly. Developmental psychology is also concerned with physical and social development, such as the age at which boys and girls start differentiating between each other, or the dynamics of middle aged adults. They also study humans in the womb, especially in the later phases of pregnancy when the fetus appears to be engaging in conscious actions.
The study of developmental psychology is critical to understanding how humans mature, and to identifying issues with human maturation. Developmental psychologists, for example, can set basic milestones which can be used to determine whether or not a child is developing normally. Lagging behind normal development or failing to meet development targets by a specific age can be an early sign that a child is experiencing problems which need to be addressed.
Research in developmental psychology can also be used to explore the developmental differences between different populations, and the reasons why some groups seem to develop more quickly than others. This research can be valuable when people are deciding how to allocate funding and which social and educational issues need the most attention, as developmental psychology has illustrated that people need sound developmental building blocks to grow into healthy, well-adjusted adults.
30 Mar 2010
MORE BUNKERS - THE SHAME
A frien of mine sent me these two pictures of bunkers in Normandy. The previous ones I posted were not grafittized like these are. The shame remains the same - with decoration or not. Hitler had the bunkers built 70 years ago to prevent the landing by the Allies. He didn't succeed but millions died here and in many other places across the planet.
What we call Europe, EU, etc, is such a fragile construction. We have to be careful not to let it fall down. Think of that.
28 Mar 2010
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