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stool of evidence-based medicine
-best research evidence
-clinical expertise
-patient values → therapeutic alliance=20% “power-up”
5 qualities of therapeutic alliance
meeting a competent and warm therapist
being understood as a whole person
feeling appreciated, tolerated, and supported
gaining strength and hope for the future
helping overcome fears and apprehension
why can therapeutic alliance be hard?
bias and reasoning
amgyladala hijacking
amygdala hijacking
-immediate and intense emotional reaction that’s out of proportion to the situation
-while the amygdala is intended to protect us from danger, it can interfere with out function in the modern world where threats are often more subtle in nature
how to avoid amygdala hijacking
Engage your prefrontal cortex
name your emotion
give attention to what is happening physically
self talk: what are my choices right now?
-secretes NT GABA which helps calm the amygdala
Wait 90 seconds and use Physiological Sighing
-influences cortical structures regulating emotion and mood and arousal
why the US so divided?
social media: a unique problem of our time
-make algorithms to get our attention
how to address US divide from social media
-Intellectual Humility: Intergroup Contact Theory
-Humanize people: know their story