Psychobabble

Hannah Spier, MD
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Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com

  1. 29 DE ABR. ·  VÍDEO

    #66. How Borderline Traits Develop and Why They're Increasing Now

    Borderline Personality Disorder is usually framed as the result of trauma: a broken attachment system, a damaged patient reacting to early wounds. This is inclomplete. Borderline traits persist not because they are purely pathological, but because, in many contexts, they are functionally effective. This epsiode goes into the problem of the "invalidation environment" theory of Marsha Linehan, and the more plausible interpretaion of what makes this personality pathology. For ad-free episodes of the Psychobabble Podcast, subscribe on Substack:  https://hannahspier.substack.com/p/66-how-borderline-traits-develop

    17 min

  2. 24 DE ABR. ·  VÍDEO

    #65. What Louis Theroux Refused to Show About the Manosphere | Janice Fiamengo, Tom Golden & James Nuzzo

    What was presented as an investigation into the subculture of the "Manosphere" felt like something else entirely. In this panel discussion, I'm joined by Janice Fiamengo, Tom Golden, and Jim Nuzzo to react to the new manosphere documentary and discuss what this actually was, what they got right and what they missed. We also touch on a new trend - Alpine Divorce. Want to listen ad-free? Subscribe on substack: https://hannahspier.substack.com/

    1h 10min
  3. #64. Is Borderline Personality Caused by Trauma?

    15 DE ABR.

    #64. Is Borderline Personality Caused by Trauma?

    Borderline Personality Disorder is routinely explained as trauma response. In this episode, I look at the evidence behind that assumption. It matters because bad causal stories produce bad therapy. Become a Psychobabble Insider and join us for Live Clinical Sessions twice a month! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    15 min
  4. #63. How to Screen for Borderline Traits

    5 DE ABR.

    #63. How to Screen for Borderline Traits

    This isn't about calling women "crazy." It's about recognizing the strategy behind the "aura" and the patterns of behavior that society often fails to warn men about. As a mother of two sons, I am seeing these dynamics play out more than ever, and it's time for a clinical and social autopsy of the high-conflict personality. Become a Psychobabble Insider and join us Sunday the 12th of April for a Live Clinical Session on Men's Fitness with James Nuzzo! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    19 min
  5. #62. Borderline: The Female Version of Antisocial

    29 DE MAR.

    #62. Borderline: The Female Version of Antisocial

    Are we misdiagnosing female predators as "patients"?In this video, I explore a provocative but clinically grounded theory: that Borderline Personality Disorder (BPD) is often the female expression of Antisocial Personality Disorder (ASPD). While we have no trouble identifying the "Language of Force" in the male predator, society often falls for the "Language of the Heart" when it comes to women.Using the viral case of a young woman named Deja, I break down the Strategic Regression and Tactical Tantrums used to establish affective dominance over others. We move past the "victim-patient" model to restore the dignity of agency, analyzing how hyper-neuroticism can be used as a weapon system. I also released the full recording of our latest clinical live session with Tom Golden, where we unpack why men don't process grief the way modern psychology assumes and what actually works instead. It's one of those discussions that shifts how you interpret behaviour almost immediately. If you've ever felt that the standard framework doesn't quite fit, this is worth watching. You can access it here (paid subscribers), and the next live session is on April 12th with Jim Nuzzo, focusing on a practical approach to men's health. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    20 min
  6. #61. Challenging the 'ADHD Was Always There' Narrative

    25 DE MAR.

    #61. Challenging the 'ADHD Was Always There' Narrative

    ADHD did not expand by accident.In some U.S. states, nearly 1 in 5 boys have been diagnosed. Adult diagnoses continue to rise. The standard explanation is simple: "It was always there — we're just recognizing it now."But genuine medical conditions do not behave this way.In this episode, I trace the historical evolution of ADHD from a rare and severe childhood condition to a lifelong, broadly defined neurodevelopmental diagnosis. We look at the DSM revisions that expanded criteria, the shift from hyperactivity to inattention, and the moment adult self-report became sufficient for diagnosis.More importantly, we examine the forces that benefited from this expansion Become a Psychobabble Insider and join us Saturday the 28th of March at 3 PM Eastern for a Live Clinical Session on helping men grieve with Tom Golden! 0:00 The Epidemic of ADHD Diagnoses and Medication0:20 Challenging the 'ADHD Was Always There' Narrative1:02 Why Prevalence Data Disproves the 'Always There' Argument1:40 DSM Revisions and Shifting Diagnostic Criteria2:24 ADHD as a Reflection of Institutional Demands2:52 The Intellectual Roots of Psychiatric Diagnosis: Wundt's Lab3:39 Sir George Still's Early Description of 'Abnormal Incapacity' (1902)4:47 From Brain Damage to Dysfunction: Early Diagnostic Evolution5:35 The Baby Boom and the Need for Conformity: Shifting Focus to Hyperactivity6:46 DSM 2 (1968): Hyperkinetic Reaction and Teachers as Gatekeepers7:59 DSM 3 (1980): The Pivotal Shift to Attention Deficit Disorder (ADD)8:58 DSM 4 (1994): Broadening Criteria, Subtypes, and 'Horoscope Questions'10:24 The Dangers of Subtypes, Spectrum Disorders, and Inclusivity in Psychiatry11:15 Institutional Priorities Driving Diagnostic Expansion12:44 DSM 5 (2013): Redefining ADHD as a Lifelong Neurodevelopmental Disorder13:30 Modern Schooling and Affluent Areas: Why This Diagnosis?14:22 Benefits for Parents: Replacing Moral Judgment with Medical Explanations15:52 Benefits for Teachers: Diagnosis as a Recourse for Behavioral Issues16:47 Psychiatry's Quest for Legitimacy and the Role of ADHD17:39 The Pharmaceutical Industry: Amplifying ADHD Diagnosis18:08 The Role of Identity: ADHD as a Path to Redemption and Status19:12 Why ADHD Grew: Solving Multiple Problems for Many Stakeholders20:20 The Origin of Stimulant Medications: War and Addiction21:20 How Stimulant Medications Work (and What They Don't Do)22:31 Non-Stimulant Medications: Mechanisms and Misrepresentation23:58 Withdrawal Effects, Side Effects, and the Dangers of ADHD Medication25:04 The Core Question: Medicalizing Normal Variants This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    26 min
  7. #60. The ADHD Surge Adult Women

    22 DE MAR.

    #60. The ADHD Surge Adult Women

    ADHD is officially classified as a neurodevelopmental disorder: a lifelong brain condition said to be present from birth. But despite decades of research, there is still no biomarker, no diagnostic brain scan, and no consistent neurological abnormality that can reliably distinguish an "ADHD brain" from a normal one.In this video, I examine why adult ADHD diagnoses have surged, especially among women, and why the evidence increasingly suggests that what we call adult ADHD maps far more closely onto extreme personality traits than to a discrete brain disorder. Become a Psychobabble Insider and join us Saturday the 28th of March at 2 PM Eastern for a Live Clinical Session on helping men grieve with Tom Golden! 0:00 The Appeal of an ADHD Diagnosis and Redemption0:38 Questioning ADHD as a Neurodevelopmental Disorder1:29 Initial Red Flags in ADHD Diagnosis Narratives2:10 The Four Archetypes of ADHD Prevalence3:32 The Expanding Umbrella of ADHD Subtypes4:15 ADHD Diagnosis: Lack of Biomarkers or Brain Scans4:56 Challenging the 'Neurodivergent' Claim in ADHD5:53 Brain Volume Differences: Personality Traits vs. Pathology6:39 Environmental and Cultural Impact on ADHD Rates7:32 Women's Self-Diagnosis and the Hereditary Link8:23 Personality Traits as Predictors of Life Outcomes9:02 Deconstructing 'ADHD Symptoms' as Extreme Extroversion11:28 Impulsivity and Distractibility: Low Conscientiousness13:10 Fidgeting, Anxiety, and Mood Swings: Neuroticism14:19 Adaptive Task Switching vs. Fixation: Openness16:20 The Concept of 'Symptom Masking' and Emotional Pain17:58 The 'Anxious, Scattered Mother' and Personality Profiles19:55 Adult ADHD as a Manifestation of Extreme Personality20:25 Psychiatry's Influence on Cultural Expectations This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    22 min
  8. #59. Girl Rotting, Heterofatalism & "Decentering Men"

    15 DE MAR.

    #59. Girl Rotting, Heterofatalism & "Decentering Men"

    I am joined by ​⁠Janice Fiamengo, ​⁠Tom Golden, and James Nuzzo to analyze a "folder of awful" containing various feminist buzzwords and social media trends. If you want to go deeper, here is the recording from a live session with Psychobabble Insiders,. These live discussions are where we can slow down, go through the clinical details, and answer questions directly. If you'd like to listen to the recording — and join future live sessions — you can find it here. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    55 min
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Sobre

Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com

Informações

  • Criado por
    Hannah Spier, MD
  • Anos de atividade
    2023 - 2026
  • Episódios
    75
  • Classificação
    Livre
  • Copyright
    © Hannah Spier
  • Site do podcast
    Psychobabble

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