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Related Experiment Video

Updated: Jul 1, 2025

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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The Therapist Dissociates: Psychic Nodules and Group Process.

Richard M Billow

    International Journal of Group Psychotherapy
    |March 7, 2024
    PubMed
    Summary

    Therapists may experience "nodules," which are preoccupying mental states that hinder self-reflection and communication. These nodules impact the therapist

    Area of Science:

    • Psychology
    • Psychoanalysis
    • Group Dynamics

    Background:

    • Therapist's internal psychological experiences can significantly influence therapeutic interactions.
    • Dissociative states and preoccupying thoughts can disrupt a therapist's reflective capacity.
    • Understanding these internal disruptions is crucial for effective therapeutic leadership.

    Purpose of the Study:

    • To introduce and define the concept of a "nodule" in therapist psychology.
    • To explore the impact of psychic nodules on the therapist's self-reflection and leadership.
    • To examine how nodules affect communication within therapy groups.

    Main Methods:

    • Conceptual introduction of the term "nodule" to describe a specific psychological state.
    • Auto-ethnographic analysis focusing on the author's personal experience with nodules.

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  • Case study examining the influence of nodules on three led therapy groups.
  • Main Results:

    • Nodules represent a crystallization of affects, fantasies, and perceptions, leading to dissociation.
    • This state muffles internal and external communication channels, hindering useful associations.
    • The author's nodules demonstrably impacted the communicative matrices of the groups studied.

    Conclusions:

    • Psychic nodules represent a significant impediment to therapist self-reflection and effective group leadership.
    • The concept of nodules offers a framework for understanding disruptions in therapeutic communication.
    • Further research is warranted to explore the prevalence and management of nodules in clinical practice.