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I talk with Dr Coughlin about particular aspects of Intensive Short Term Dynamic Psychotherapy (ISTDP) that have been on my mind in recent times. Namely, the crucial focus on the emotional impulse (not just the feeling), how our ability to imagine and visualise action facilitates our access to the unconscious (and can also get in the way), and why there are so many men and so few women in this particular part of the therapy universe. Chapter markers are below. Patricia Coughlin is a Clinical Psychologist with over 40 years of experience as a therapist and teacher. She is the author of several key ISTDP books, has a wonderful youtube channel that has been instrumental to my learning of ISTDP ( @patriciacoughlinphd1852 ) and trains psychotherapists internationally. You can find her at: https://www.istdpnortheast.com [Recorded April 2024 by Dr Aspasia Karageorge. Personal opinions only - no clinical advice included] Chapters: 00:23 The action impulse of an emotion 03:04 Resistance against impulse 06:40 Potential mechanisms for how experiencing the impulse provides access to unconscious material 09:29 Somatic and imaginary experiencing of the impulse 18:42 Imagination as a liminal space to act without truly acting 22:17 Moral judgment, religion, and thought/action fusion 32:01 Performative impulse vs. authentic impulse (looking out for somatic activation) 33:43 ISTDP as a male dominated space, and being a female therapist 38:02 Working with defences directly, but not derogatorily