psychology – Page 2 – LIBERTY PSYCHOLOGICAL ASSOCIATION

Mentalization-Based Therapy (MBT), explained:

Mentalization-Based Therapy (MBT) is a form of psychodynamic psychotherapy that helps people better understand their own mental states and the mental states of others, such as thoughts, feelings, intentions, and motivations. This ability is called Mentalization.

Core Idea

Mentalization means being able to ask questions like:

“Why did I react that way?”
“What might the other person have been thinking or feeling?”
“Could I be misinterpreting their intention?”

MBT helps people pause and reflect on internal experiences rather than reacting impulsively.

Research later showed it might also help with:

trauma-related disorders
depression
attachment difficulties
emotional dysregulation

Key Principles of MBT

1. Improving Awareness of Mental States

Patients learn to recognize:

their own emotions and thoughts
how those affect behavior
how others may experience situations differently

2. Reducing Misinterpretations

People under emotional stress often lose the ability to mentalize, leading to:

jumping to conclusions
assuming hostile intentions
relationship conflict

MBT helps restore reflective thinking during emotional situations.

3. Attachment Focus

MBT is strongly linked to Attachment Theory.

The therapy examines how early attachment relationships affect emotional regulation and understanding of others.

What Therapy Looks Like

MBT usually involves:

Individual therapy

exploring emotions and relationship events
examining misunderstandings in interactions

Group therapy

practicing mentalizing in real-time social interactions

Therapists often ask questions like:

“What do you think was going through their mind?”
“What were you feeling at that moment?”
“Could there be another explanation?”

Goal of MBT

The main goals are to:

improve emotional regulation
strengthen self-awareness
improve relationships
reduce impulsive behavior and conflict

Why It’s Powerful

Studies show MBT might reduce:

self-harm
suicide attempts: (SEEK IMMIDIATE EMERGENCY CARE)
emotional instability
interpersonal chaos

especially in individuals with Borderline Personality Disorder.

In simple terms:
MBT might train the mind to slow down and understand minds, both your own and other people’s.

Shervan K Shahhian

Auditory Verbal Hallucinations (AVH), an explanation:

“PLEASE CONSULT a NEUROLOGIST, and/or a PSYCHIATRIST“

Auditory Verbal Hallucinations (AVH) are experiences of hearing voices or speech without an external sound source. The voices are perceived as real and distinct from one’s own internal thoughts.

They might be more common than many people assume and occur across multiple clinical and non-clinical populations.

What They Typically Involve

AVH can vary widely in form:

A single voice or multiple voices
Male, female, familiar, or unfamiliar voices
Speaking in second person (“You are worthless”)
Third person commentary (“He is failing”)
Command voices (“Do this”)
Conversational voices arguing or discussing the person

The key distinction is that the voice is experienced as external or not self-generated, even though no one is speaking.

Conditions Commonly Associated With AVH

AVH are most classically linked to:

Schizophrenia
Schizoaffective disorder
Bipolar disorder (with psychotic features)
Major depressive disorder (with psychotic features)

However, they are also found in:

Trauma-related disorders (especially complex trauma)
Dissociative disorders
Severe stress or sleep deprivation
Neurological conditions, CONSULT A NEUROLOGIST, PLEASE
Substance use or withdrawal

Importantly, some people experience voices without meeting criteria for a psychiatric disorder.

How AVH Differ From Normal Inner Speech

Inner Speech	Auditory Verbal Hallucination
Recognized as your own thoughts	Experienced as not self-generated
Under voluntary control	Often intrusive and uncontrollable
Occurs “inside” your mind	Often perceived as external or spatially located

CONSULT A NEUROLOGIST, PLEASE

Neurocognitively, one leading model suggests AVH may involve misattributed inner speech, where self-generated verbal thought is experienced as coming from outside the self.

Neurobiological Findings

CONSULT A NEUROLOGIST, PLEASE

Research shows involvement of:

Auditory cortex activation (as if real sound is present)
Language production areas
Reduced connectivity between speech production and self-monitoring systems

In other words, the brain may be producing speech internally but failing to label it as self-generated.

Trauma and Dissociation Connection

In trauma populations, voices often:

Reflect internalized abusers
Represent dissociated self-states
Contain shame-based or protective content

From a structural dissociation perspective, some voices may function as parts of the personality, rather than psychotic phenomena per se.

Clinical Questions That Matter

Frequency and duration
Emotional tone (hostile, neutral, supportive)
Command content (especially harmful commands)
Level of distress
Insight (does the person question the reality of the voice?)
Functional impairment

Distress and loss of control are often more clinically significant than the mere presence of voices.

Treatment Approaches

Depending on etiology:

medication: CONSULT A PSYCHIATRIST
Trauma-focused therapy
Cognitive Behavioral Therapy for Psychosis (CBTp)
Voice dialogue approaches
Grounding and self-monitoring training

Increasingly, treatment focuses not on “eliminating” voices, but on changing the person’s relationship to them.

Shervan K Shahhian

Birth-Order Psychology, explained:

Birth-order psychology is the theory that a person’s position in their family (firstborn, middle child, youngest, or only child) influences their personality development, behavior patterns, and life outcomes.

Core Idea

Family dynamics
Sibling competition
Parental attention patterns
Perceived role within the family

It’s less about actual order and more about the psychological position the child experiences.

Common Birth-Order Patterns

Firstborn

Often described as:

Responsible
Achievement-oriented
Conscientious
Leadership-driven
Sometimes perfectionistic

Psychological dynamic:
Firstborns initially receive full parental attention, then experience “dethronement” when a sibling arrives.

Middle Child

Often described as:

Diplomatic
Independent
Socially skilled
Sometimes feeling overlooked

Dynamic:
They may feel squeezed between older and younger siblings, which can foster negotiation skills or competitiveness.

Youngest Child

Often described as:

Charming
Creative
Risk-taking
Attention-seeking

Dynamic:
They grow up around more capable siblings, which may encourage social boldness or dependency.

Only Child

Often described as:

Mature
Verbally advanced
Comfortable with adults
Self-directed
Sometimes perfectionistic

Dynamic:
Receives undivided parental attention without sibling rivalry.

What Might Research Say?

Modern research shows:

Personality differences exist, but they are small.
Birth order may affect family roles and behavior patterns more than core personality traits.
Socioeconomic status, parenting style, attachment patterns, and temperament often have stronger effects.

Some Large-scale studies suggest birth order has minimal impact on the Big Five personality traits, but it may influence:

Achievement motivation
Political attitudes
Risk tolerance

Important Psychological Nuances

Birth order is often mediated by attachment security.
“Psychological birth order” (how a child perceives their position) matters more than actual order.
Blended families complicate the dynamic significantly.
Parental differential treatment is a stronger predictor than ordinal position alone.

Some Clinical Use

Birth-order theory can be useful for:

Exploring sibling rivalry
Understanding family-of-origin narratives
Identifying internalized roles (e.g., “the responsible one,” “the rebel,” “the peacemaker”)

But it should not be treated as deterministic.

Shervan K Shahhian

Psychological Autopsy, an explanation:

“Consult with a trained forensic psychologist or psychiatrist“

Psychological Autopsy is a structured, retrospective investigative method used to reconstruct a deceased person’s mental state, intentions, and circumstances prior to death, most commonly in cases of suspected suicide.

It is NOT a literal medical autopsy of the body. Instead, it is a forensic psychological evaluation conducted after death.

Purpose

Psychological autopsies are conducted to:

Determine whether a death was suicide, accident, natural, or homicide
Understand the decedent’s psychological functioning
Assess intent and state of mind
Clarify ambiguous deaths (e.g., overdose, single-vehicle crash, firearm deaths)
Provide information for legal proceedings or insurance claims
Assist families seeking understanding or closure

What It Involves

A trained forensic psychologist or psychiatrist gathers data from multiple sources:

1. Interviews

Family members
Friends
Coworkers
Treating clinicians

2. Records Review

Medical and psychiatric records
Therapy notes
Medication history
Police and coroner reports
Suicide notes (if present)
Digital footprint (texts, emails, social media)

3. Behavioral Reconstruction

Investigators look for:

Prior suicide attempts
Verbalizations of hopelessness
Recent stressors or losses
Substance use
Personality traits
Major psychiatric disorders
Changes in behavior before death

Core Psychological Questions

A psychological autopsy attempts to answer:

Was there evidence of suicidal intent?
Was the individual experiencing major depression, psychosis, trauma-related distress, substance intoxication, or other impairments?
Were there protective factors?
Did the person show planning behaviors?

In Clinical & Research Context

Beyond legal investigations, psychological autopsies are used in:

Suicide prevention research
Epidemiological studies
Public health policy

They help identify patterns in:

Risk factors
Sociocultural influences
Psychiatric comorbidities

Important Distinction

A psychological autopsy:

Is retrospective
Relies on collateral data
Cannot establish absolute certainty
Is probabilistic, not definitive

It differs from:

Forensic pathology (physical cause of death)
Clinical diagnosis (which requires direct assessment)

In Context

Psychological autopsies are (Might Be) especially relevant when evaluating:

Complex trauma histories
Dissociative states prior to death
Severe depression with psychosis
Ambiguous self-inflicted injury cases

There could be growing discussion about integrating:

Trauma-informed reconstruction
Attachment history analysis
Neurocognitive vulnerability mapping
Shervan K Shahhian

Internal Voices vs Psychotic Voices, what are the differences:

The distinction between internal voices and psychotic voices is clinically important, especially in trauma work, dissociation, and psychosis-spectrum conditions.

Below is a structured comparison from a psychological lens.

Internal Voices (Non-Psychotic)

These are usually understood as forms of inner experience, not hallucinations.

They may occur in:

Normal inner speech (self-talk)
High stress
Trauma-related dissociation
Parts-based personality structures (e.g., IFS-style parts)
Grief
Intense imagination

Characteristics

Experienced as coming from inside the mind
Recognized as “my thoughts” or “a part of me”
Often dialogical (self arguing with self)
Usually retain reality testing
Can be influenced intentionally
Person knows they are not external beings

Examples:

“Part of me wants to leave, part of me wants to stay.”
Hearing a deceased loved one’s voice internally but knowing they are not physically present.
Critical self-talk with a tone or personality.

Neurocognitively, these relate to variations in inner speech generation and monitoring, often involving prefrontal–temporal circuits.

Psychotic Voices (Auditory Verbal Hallucinations)

These are typically associated with disorders like:

Schizophrenia
Schizoaffective disorder
Bipolar disorder (with psychotic features)
Severe major depression with psychosis

Characteristics

Experienced as external (outside the head)
Often perceived as autonomous entities
Not recognized as self-generated
May comment, command, or converse
Frequently intrusive and uncontrollable
Often accompanied by delusions
Impaired reality testing

Examples:

“The government is speaking to me through the wall.”
Voices giving commands.
Multiple distinct voices arguing about the person.

Neuroimaging studies suggest altered activity in speech perception areas (e.g., superior temporal gyrus) and impaired source monitoring.

“CONSULT WITH A NEUROLOGIST, and a PSYCHIATRIST”“

Trauma-Related Voices (The Gray Area)

This is where things get clinically nuanced.

In conditions like:

Dissociative identity disorder
Complex PTSD
Severe developmental trauma

Voices may:

Feel separate or “not me”
Have distinct identities
Represent dissociated self-states
But still exist within a dissociative framework rather than primary psychosis

Key difference:
Reality testing is often largely intact, and the voices are psychologically meaningful (linked to trauma memory, internalized figures, attachment disruptions).

Core Differentiators

Feature	Internal Voices	Psychotic Voices
Location	Inside mind	External space
Ownership	Recognized as self/part of self	Experienced as other
Reality testing	Intact	Impaired
Control	Some influence possible	Little to none
Associated symptoms	Dissociation, stress	Delusions, disorganization
Insight	Usually present	Often absent

Important Clinical Note

Voice hearing alone does not equal psychosis.

Many non-psychotic individuals report voice-like experiences, especially:

Trauma survivors
Highly imaginative individuals
Individuals under extreme stress
People in bereavement

The key question is:

Is reality testing intact?

From a Depth Psychology Perspective

Internal voices can represent:

Internalized parental objects
Superego structures
Dissociated ego states
Unintegrated affective fragments

Psychotic voices tend to reflect:

Breakdown in ego boundaries
Failed source monitoring
Projection of internal content into perceived external reality
Shervan K Shahhian

Self-Visualization, what is it:

Self-visualization is the deliberate use of mental imagery to imagine yourself thinking, feeling, or performing in a particular way. It’s widely used in psychology, performance training, and psychotherapy.

Guided, intentional self-imagery that influences cognition, emotion, and behavior.

1. What It Is (Psychological Definition)

Self-visualization involves:

Mentally picturing yourself (first-person or third-person)
Engaging sensory details (sight, sound, body sensation)
Rehearsing a desired state or outcome
Linking imagery to emotional and somatic experience

It activates neural pathways similar to real behavior, a principle strongly used in performance psychology and sports science.

2. Two Main Forms

First-Person (Internal) Visualization

You see through your own eyes.

You feel the body
You experience emotions directly
More effective for emotional conditioning and nervous system regulation

Third-Person (Observer) Visualization

You see yourself from outside, like watching a movie.

Good for identity restructuring
Helpful for self-concept work
Used in trauma distancing techniques

3. Clinical & Performance Applications

Performance Psychology

Used by athletes to mentally rehearse races.

Mental rehearsal improves motor coordination, reaction time, and confidence.

Cognitive Behavioral Therapy (CBT)

Visualizing successful coping
Replacing catastrophic imagery

Trauma Therapy

Safe-place visualization
Rescripting traumatic memory imagery
Strengthening ego-state stability

Identity & Self-Concept Work

Used in:

Future-self work
Self-compassion imagery
Rebuilding identity after destabilization

4. Nervous System Effects

(CONSULT A NEUROLOGIST)

When done properly, self-visualization can:

Reduce sympathetic arousal
Increase vagal tone
Strengthen neural circuits of desired behavior
Create state-dependent memory encoding

If emotionally overwhelming, it can also:

Trigger dissociation
Activate trauma networks
Intensify shame or fear imagery

So regulation capacity matters.

5. Psychological Mechanisms

Self-visualization works through:

Neuroplasticity
Mirror neuron activation
Emotional conditioning
Implicit memory reconsolidation
Expectancy effects

The brain does not sharply distinguish between vividly imagined and actual experience at the neural activation level.

6. Healthy vs Unhealthy Self-Visualization

Healthy

Grounded in reality
Enhances functioning
Builds embodied confidence
Improves adaptive behavior

Unhealthy

Grandiose fantasy
Escape from reality
Reinforces avoidance
Inflates unstable identity

Shervan K Shahhian

Self-Visualization, what is it:

Guided, intentional self-imagery that influences cognition, emotion, and behavior.

1. What It Is (Psychological Definition)

Self-visualization involves:

Mentally picturing yourself (first-person or third-person)
Engaging sensory details (sight, sound, body sensation)
Rehearsing a desired state or outcome
Linking imagery to emotional and somatic experience

It activates neural pathways similar to real behavior, a principle strongly used in performance psychology and sports science.

2. Two Main Forms

First-Person (Internal) Visualization

You see through your own eyes.

You feel the body
You experience emotions directly
More effective for emotional conditioning and nervous system regulation

Third-Person (Observer) Visualization

You see yourself from outside, like watching a movie.

Good for identity restructuring
Helpful for self-concept work
Used in trauma distancing techniques

3. Clinical & Performance Applications

Performance Psychology

Used by athletes to mentally rehearse races.
Mental rehearsal improves motor coordination, reaction time, and confidence.

Cognitive Behavioral Therapy (CBT)

Visualizing successful coping
Replacing catastrophic imagery

Trauma Therapy

Safe-place visualization
Rescripting traumatic memory imagery
Strengthening ego-state stability

Identity & Self-Concept Work

Used in:

Future-self work
Self-compassion imagery
Rebuilding identity after destabilization

4. Nervous System Effects

(CONSULT A NEUROLOGIST)

When done properly, self-visualization can:

Reduce sympathetic arousal
Increase vagal tone
Strengthen neural circuits of desired behavior
Create state-dependent memory encoding

If emotionally overwhelming, it can also:

Trigger dissociation
Activate trauma networks
Intensify shame or fear imagery

So regulation capacity matters.

5. Psychological Mechanisms

Self-visualization works through:

Neuroplasticity
Mirror neuron activation
Emotional conditioning
Implicit memory reconsolidation
Expectancy effects

The brain does not sharply distinguish between vividly imagined and actual experience at the neural activation level.

6. Healthy vs Unhealthy Self-Visualization

Healthy

Grounded in reality
Enhances functioning
Builds embodied confidence
Improves adaptive behavior

Unhealthy

Grandiose fantasy
Escape from reality
Reinforces avoidance
Inflates unstable identity

Shervan K Shahhian

Performance Psychology, what is it:

Performance psychology is the scientific study of how thoughts, emotions, physiology, and behavior affect performance in high-pressure environments, and how to optimize them.

It sits at the intersection of psychology, neuroscience, and performance science.

Core Idea

Performance psychology focuses on helping people perform at their best when it matters most, not just when they feel comfortable.

It is used in:

Elite sports
Military and tactical units
Performing arts
Business leadership
Medicine (e.g., surgeons)
High-stakes public speaking

Historical Roots

Modern performance psychology developed largely from sport psychology, influenced by pioneers like:

William James: studied attention and willpower
Coleman Griffith: often called the “father of sport psychology” in the U.S.

Today it draws from cognitive psychology, behavioral science, trauma research, and neurobiology.

Key Areas of Focus

1. Arousal Regulation

Understanding and managing:

Fight–flight–freeze responses
Chronic hyperarousal
Performance anxiety

Balancing activation, not too anxious, not too flat.

2. Attention Control

Training:

Focus under distraction
Cognitive flexibility
Rapid recovery after mistakes

3. Emotional Regulation

Managing:

Fear
Anger
Shame
Self-doubt

Without suppressing emotion.

4. Mental Skills Training

Common tools:

Visualization / imagery
Self-talk restructuring
Breathwork
Pre-performance routines
Goal setting

The Flow State

Flow is the state where:

Action and awareness merge
Self-consciousness drops
Performance feels effortless
Time perception shifts

Performance psychology aims to increase the probability of entering flow though it cannot be forced.

Performance vs. Clinical Psychology

Since you’re a psychologist, here’s a nuanced distinction:

Clinical Psychology	Performance Psychology
Reduces dysfunction	Enhances functioning
Focus on pathology	Focus on optimization
Trauma stabilization	Stress inoculation
Symptom relief	Peak execution

But in reality, they overlap, especially with:

Trauma-informed performance work
Nervous system regulation
Identity resilience

Modern Developments

Performance psychology now integrates:

Polyvagal theory (autonomic regulation)
Neurofeedback
Cognitive behavioral frameworks
Somatic integration
High-performance habit design

In Essence

Performance psychology is about:

Performing effectively under pressure while remaining psychologically integrated.

Not just “winning.”
Not just suppressing fear.
But sustaining clarity, regulation, and execution under load.

Shervan K Shahhian

Psychological Free Fall, what is it:

Psychological free fall is not a formal diagnostic term, but it’s often used metaphorically to describe a sudden and destabilizing loss of psychological structure, meaning, or emotional stability.

It refers to the subjective experience of:

Losing your sense of identity
Losing your belief system or worldview
Emotional overwhelm without grounding
A collapse of certainty or control
Feeling like you are “falling” internally with nothing to hold onto

What It Feels Like

People describe it as:

“The ground disappeared under me.”
“Everything I believed is unraveling.”
“I don’t know who I am anymore.”
Intense anxiety or existential dread
Derealization or depersonalization
Sudden collapse of confidence

It can feel similar to:

An identity crisis
An existential crisis
Acute stress reaction
A depressive or anxiety episode

Common Triggers

Psychological free fall can be triggered by:

Divorce, betrayal, or relationship loss
Loss of career or status
Spiritual deconstruction
Trauma exposure
Public humiliation
Collapse of grandiosity or narcissistic defenses
Deep shadow confrontation (especially in intense self-exploration work)

This state often appears when illusions dissolve faster than the psyche can reorganize.

Structurally, What’s Happening?

Psychologically, it’s often:

Collapse of a stabilizing narrative
Ego destabilization
Temporary loss of meaning-making structure
Nervous system dysregulation

The mind feels like it is falling because its previous organizing framework no longer works.

Is It Pathological?

Not necessarily.

It can be:

A precursor to psychological growth
A transition phase toward maturity
A dismantling of false self structures

However, if prolonged or severe, it may indicate:

Major depressive disorder
Panic disorder
Trauma-related disorder
Dissociative instability

Duration, functionality, and level of impairment matter.

Growth vs Breakdown

There’s an important distinction:

Breakdown	Breakthrough
Disintegration without integration	Deconstruction followed by reconstruction
Loss of meaning	Rebuilding meaning
Chronic dysfunction	Temporary destabilization

The difference is whether new structure forms.

From a Depth Psychology Lens

Some might describe this as:

Ego death phase
Descent into the unconscious
Necessary disorientation before individuation

But without containment, it becomes fragmentation rather than transformation.

Stabilizing During Psychological Free Fall

Key interventions:

Nervous system regulation first (sleep, breathing, somatic grounding)
Reduce abstraction (stay concrete, practical)
Limit existential rumination
Strengthen routine and structure
Reality-based thinking over catastrophic interpretation

You don’t build meaning mid-air, you stabilize first.

Shervan K Shahhian

Borderline-Level Defenses, what are they:

Borderline-level defenses are a group of psychological defense mechanisms that are more primitive than neurotic defenses but more organized than psychotic defenses. They are typically associated with borderline personality organization.

These defenses are common in individuals with intense emotional instability, identity diffusion, and unstable relationships, but they can also appear temporarily in highly stressed individuals.

Core Borderline-Level Defenses

1. Splitting

Seeing people (or oneself) as all good or all bad, with no middle ground.

“They are perfect.”
Later: “They are evil.”

This reflects difficulty integrating positive and negative aspects of the same person.

2. Projective Identification

Not just projecting unwanted feelings onto someone else, but subtly behaving in ways that pressure the other person to actually feel or enact what is projected.

Example:

A person unconsciously feels anger.
They accuse the therapist of hostility.
Their behavior becomes provocative.
The therapist starts feeling irritated.

3. Primitive Idealization

Overvaluing someone unrealistically:

“You are the only person who understands me.”
“You are extraordinary.”

Often followed by devaluation when disappointment occurs.

4. Devaluation

The flip side of idealization.

Sudden shift to: “You are useless.”
Intense contempt or dismissal.

5. Denial (Primitive Form)

Refusal to acknowledge emotionally threatening reality, even when evidence is clear.

6. Omnipotence

An exaggerated sense of power or specialness to defend against vulnerability.

“I don’t need anyone.”
“Rules don’t apply to me.”

Structural Context

Borderline-level organization includes:

Identity diffusion (unstable self-concept)
Primitive defenses (like splitting)
Intact reality testing (unlike psychosis)

This differs from:

Neurotic organization: repression, rationalization
Psychotic organization: severe reality distortion

Clinical Insight

Borderline-level defenses often appear in contexts of:

Intense attachment needs
Fear of abandonment
Grandiose or persecutory relational narratives
Rapid shifts in perception of mentors, institutions, or belief systems

Importantly, these defenses are not “bad”, they are protective adaptations formed early in development, often in response to inconsistent or traumatic attachment.

Shervan K Shahhian