Mistrust: Developmental, Cultural, and Clinical Realms

Dr. Nina writes about trust and mistrust in the clinical situation. She describes why people mistrust other people (including their therapists) and discusses how to create change.
Humans are weak. Lacking the claws and thick skins of other animals, we are forced to rely on members of our own species to survive and flourish in the world. The fact that the human infant is born in an utterly helpless state also makes others’ protective care necessary. Attachment, bonding, concern, and mutuality thus become cornerstones of human existence. Trust also enters this equation. Originating in the early mother-child relationship, trust continues to grow, get contextually refined tempered by reality testing, and gain nuances throughout the subsequent adult life. Its absence (mistrust) or malformation (distrust) contributes to psychopathology and is responsible for much intrapsychic distress and interpersonal strife.

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