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Psychobabble

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

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  1. 73

    80. Why So Many Young Women Suddenly Have "Alters"

    Dissociation is a real and measurable psychological phenomenon—but does that validate dissociative identity disorder as it is commonly portrayed online and diagnosed in clinical practice? In this episode, psychiatrist Hannah Spier examines the evidence behind DID, the limitations of self-reported amnesia and diagnostic interviews, and the difficulty of distinguishing separate "identities" from shifting emotional states, trauma responses, borderline personality traits, and identity disturbance. Finally, Hannah looks at the history of multiple personality disorder—from mesmerism and hypnosis to *The Three Faces of Eve*, *Sybil*, *Split*, and TikTok—and offers advice for parents whose children return from therapy with a new DID diagnosis.  Read Hannah's articles and join exclusive live discussions on Substack! https://substack.com/@psychobabblewithspier

  2. 72

    #79. Why We Pretend Women Aren't Violent

    SPONSOR: Get 15% off OneSkin with the code HANNAH at https://www.oneskin.co/HANNAH  In this episode, we look at the Mackenzie Shirilla case as a starting point for a broader question: how do we understand female physical violence? The discussion moves from the details of the case — including Shirilla's behavior before and after the crash, the public reaction, and the question of remorse — into a wider examination of how female aggression is often framed culturally. We tend to associate men with physical violence and women with relational aggression, but the evidence around intimate partner violence, family violence, elder abuse, and child homicide complicates that picture.   Chapters 00:00 — Are women less physically violent? 00:38 — The Mackenzie Shirilla case 03:41 — Cluster B traits and interpersonal dominance 08:56 — Female sociopathy and violent women 09:10 — The myth of domestic violence as male-only 09:26 — Intimate partner violence data 10:12 — Why female violence is often framed as self-defense 10:41 — Why women report using physical aggression 10:56 — Gender symmetry in older violence studies 11:35 — Teen boys and dating violence victimization 11:49 — The problem with using general crime statistics 12:22 — Violence in female-dominated settings 12:37 — Elder abuse and female perpetrators 12:50 — Mothers, filicide, and neonaticide 13:41 — How society interprets male vs female violence

  3. 71

    #78. Why Men are GIving Up on Modern Women

    Modern dating has become increasingly expensive for men — not only financially, but emotionally, socially, and psychologically. In this episode, I look at the inflation of chivalry: the way ordinary courtship has turned into elaborate performance, "princess treatment," promposals and endless proof of male devotion. What is the problem with this? We also look at the rise of "the ick," and what that signifies. Chapters: 00:40 The Cost of Modern Dating for Men 02:09 No Effort, No Reciprocity 03:00 Promposals and Princess Treatment 04:22 What Chivalry Was Supposed to Be 05:27 The Rise of "The Ick" 06:17 The Train Ticket Example 07:01 When Men Stop Performing 08:22 Women Want Permanent Courtship 09:00 Male Vulnerability and the Collapse of Empathy 10:11 Consuming Relationships Instead of Building Them 10:38 Fragile Narcissism and Modern Intimacy

  4. 70

    #77. The Glorification of Feminist Violence

    Get 15% off OneSkin with the code HANNAH at https://www.oneskin.co/HANNAH #oneskinpod  On June 3, 1968, Valerie Solanas walked into Andy Warhol's studio and shot him. Decades later, she has become a feminist icon, her SCUM Manifesto is taught in universities, and Hollywood celebrated her life in a major film that is now returning to theaters in a new restoration. How did an attempted murderer become a cultural hero? In this episode I'm joined by Janice Fiamengo, Tom Golden, and Jim Nuzzo to explore one of the most striking double standards in modern culture: why female violence is so often explained, romanticized, and even celebrated, while male violence is treated as evidence of innate evil. Follow them here: Janice Fiamengo: https://substack.com/@fiamengofile James Nuzzo: https://substack.com/@jameslnuzzo?utm_source=global-search 🔴 Tonight: Live Google Meet for paid subscribers: https://hannahspier.substack.com/ Tonight at 3:00 PM Eastern I'll be hosting our exclusive monthly Google Meet for paid subscribers. We'll be discussing fathers, masculinity, and what is happening to men in modern society, with plenty of time for questions and discussion. If you'd like to join, upgrade now. You'll immediately gain access to the paid subscriber chat, where the Google Meet link has already been posted. I'll also send an email with the meeting link to all paid subscribers before we go live. I hope to see many of you there. 00:00 Valerie Solanas and the Attempted Murder of Andy Warhol 01:06 Introducing the Panel 01:37 Why Is Valerie Solanas Being Celebrated? 05:16 Hollywood's Romanticization of Female Violence 11:48 The SCUM Manifesto and Feminist History 17:00 Did Feminism Embrace Valerie Solanas? 22:49 Was Valerie Solanas Mentally Ill? 25:15 Why Society Excuses Female Violence 30:01 Feminist Utopias and Anti-Male Ideology 34:17 Is Feminism a Public Health Problem? 36:33 Female Violence and the Double Standard 40:35 Why We Don't Excuse Violent Men 42:29 Gynocentrism and Cultural Bias 46:39 Protection vs Special Treatment 49:00 Why We Ignore Violence by Women 52:00 Final Thoughts

  5. 69

    76. Why Therapy Protects the Pathological Female

    Most treatments for Borderline Personality Disorder focus on emotional dysregulation. The goal is to reduce distress, self-harm, anxiety, and crises. But that misses the mark. In this episode, I argue that modern psychiatry has adopted a model of Borderline Personality Disorder that is incomplete. By focusing almost exclusively on suffering, it neglects the maladaptive strategies harm others. I also examine the striking contrast between how psychiatry approaches Borderline Personality Disorder—predominantly diagnosed in women—and Antisocial Personality Disorder, diagnosed predominantly in men. Why do we define one disorder primarily by the patient's suffering and the other by the harm inflicted on others? And what has this double standard done to treatment? In the second half of the episode I outline what I believe a more realistic treatment model would look like. If you've ever wondered why Borderline Personality Disorder remains so difficult to treat, this episode offers a very different way of thinking about the problem.

  6. 68

    #72. Is Feminism an Intrasexual Competitive Strategy? | Dr Dani Sulikowski

    Is feminism really a movement for equality or could it be something else entirely? Evolutionary psychologist Dr Dani Sulikowski joins me to discuss if feminism may be best understood as a form of intrasexual competition between women. Let me know what you think in the comments. Follow Dr. Dani Sulikowski: https://x.com/DrDaniS  https://substack.com/@drdanis CHAPTERS: 01:05 Feminism as a form of female competition 02:02 How feminism suppresses female reproductive success 03:07 The attack on attractiveness and femininity 04:22 Body positivity and competitive strategies 04:39 "Feminism was always intersexual competition" 05:05 Was feminism ever about motherhood? 06:09 Ancient Rome and declining birth rates 07:43 My challenge: is this really about resentment? 09:40 Why feminism targets desirable men 12:33 "It's not suicidal empathy, it's homicidal virtue signalling" 21:56 Feminist mothers and transing children 29:35 Activism, status, and moral superiority 32:32 Competitive strategies vs evolutionary adaptations 33:35 The attack on masculinity and femininity 39:15 Does this theory remove female agency? 58:30 Final reflections 01:00:32 "That wasn't the answer I was hoping for"

  7. 67

    #71. The 3 Mechanisms Behind Female Grievance

    In this episode, I look at the mechanisms behind female grievance culture: externalizing blame, turning victimhood into identity, and rewarding antagonism through therapy-speak and social media. I argue that when ordinary disappointment is constantly translated into harm, trauma, invalidation, gaslighting or exploitation, this prevents maturation. When they are trained to scan for injury, keep score, and treat gratitude or accommodation as weakness, relationships are doomed to fail. Want to listen ad-free? Go to Substack: https://hannahspier.substack.com/p/71-the-3-mechanisms-behind-female 00:32 The mechanisms behind female grievance culture 01:31 Marriage, fertility and adult adjustment 02:26 How motherhood became framed as burden 02:56 Mechanism 1: Externalizing blame 04:27 Mechanism 2: Victimhood and suspicion 05:13 Mental load and the grievance lens 06:37 Are fathers really doing less? 07:28 Marriage as a zero-sum game 08:12 The burdens fathers carry 09:20 Interpersonal victimhood and personality 10:23 When grievance becomes identity 11:02 Mechanism 3: Rewarded antagonism 12:05 Why suspicion is treated as intelligence 13:32 Female venting, validation and social media 14:47 Therapy-speak and the female psyche 16:36 The three mechanisms together 17:28 What feminist wellbeing research misses

  8. 66

    #70. How Feminism Changed Women's Psychological Makeup

    For decades, feminist literature has claimed that feminist identification is associated with better psychological well-being in women. But what exactly was being measured and did those measures tell us anything serious about women's adjustment to adult life? In this episode, I look at the gap between self-reported empowerment and broader indicators of functioning: marriage, fertility, divorce, emotional regulation, and the rise of late mental-health labels among adult women. I also trace how feminist ideas moved from academia into popular psychology, advertising, music, television, and social media , shaping how women were taught to interpret frustration, dependence, men, marriage, and motherhood. Chapters: 00:00 Feminism and female psychological health 00:40 What the studies actually measured 02:14 Assertiveness, empowerment, and anger 04:02 Functioning versus feeling empowered 05:17 The indicators of women's adjustment to adult life 06:29 Marriage, fertility, divorce, and mental-health labels 08:53 The feminist narrative push 09:51 Early feminist literature and marriage as exploitation 10:49 Advertising, independence, and female self-possession 11:32 Media portrayals of men, fathers, and marriage 13:35 Sisterhood, resentment, and female loyalty 15:28 Music, ridicule, and the female psyche 16:33 Why these messages reach girls early 17:06 The influence of feminist academia 18:48 Popular psychology and female grievance 19:32 From pendulum to freight train 20:11 Modern feminism, 4B, and decentering men 21:43 Social media and the divorce reflex 22:09 Grievance as a psychological orientation 22:50 What comes next: the psychological mechanisms Want to listen ad-free? Subscribe on Substack and get the epsiode straight to you inbox without any ads! https://hannahspier.substack.com/

  9. 65

    #69. Preventing the Pathological Female and the Role Feminism Played

    Prevention matters because once these patterns are learned, they are extremely difficult to undo. I am not convinced we can confidently call them curable. This is a practical look at what could make a difference, first at the individual-level, and then at a societal level. Listen to ad-free epsiodes of Psychobabble by subscribing on Substack! Chapters:  00:00 The Missing Piece: Prevention 00:28 The Temperament Foundation 02:10 How it Develops 05:35 Where Parents Lose Ground 06:53 Containing Neuroticism 11:30 Training Agreeableness 13:14 Culture vs Parenting 16:06 The Danger Effects of Peer Saturation 17:19 The Role of Social Norms and External Constraints 18:11 Cultural Shift: From Restraint to Expression 21:13 Feminism's Role in Shaping Behavior Norms 23:14 A Practical Example 26:06 Preserving Innocence and Delaying Instrumentalization 27:29 What Needs to Change (Family, Culture, Mental Health Framing) 30:25 Indulgence vs Adversity (Why Traits Are Increasing Today) 31:37 Final Framework: Containment vs Expression

  10. 64

    #68. This Therapy Teaches You How To Manipulate

    At first, Dialectical Behavioural Therapy sounds like good therapy: calm tone, validation, "skills," the language of care. But if you look closely, something very different is happening. In this video, I break down a real clip of a DBT therapist and show how what is presented as "help" can, in practice, reinforce the very behaviors it claims to treat. We'll go beyond the surface, beyond self-report, beyond symptom reduction and look at what these interventions actually do in real relationships. Because the question isn't whether DBT reduces self-harm in the short term. It does. The real question is: what is it training instead? ------- Want to listen ad-free? Head over to the Psychobabble Substack and subscribe to receive the episodes ad-free straight to your email: https://substack.com/@psychobabblewithspier --------    

  11. 63

    #67. Borderline vs Vulnerable Narcissism: A Diagnostic Walk-Through of Taylor Frankie Paul

    What if borderline and vulnerable narcissism are the same traits—just executed differently? Using a real case, I break down the strategy behind. Want ad-free episodes? Go to the Psychobabble Substack and subscribe!  https://hannahspier.substack.com/  

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ABOUT THIS SHOW

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

HOSTED BY

Hannah Spier, MD

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Psychobabble currently has 11 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

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

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Psychobabble has 11 episodes. Check the episode list to see recent publication dates and frequency.

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Psychobabble is created and hosted by Hannah Spier, MD.
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