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    Business

    A Podcast with Charlie Swenson – To Hell and Back

    This podcast series, “To Hell and Back,” is focused on the nature of hellish experiences in life, how people get into them, and to present and discuss tools for coping with hell and getting out. The various podcasts will move back and forth between different varieties of hell in life, and different tools for coping. The tools will be drawn from dialectical behavior therapy (DBT), from other treatments, and from other life experiences.

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    Copyright: © Charlie Swenson, MD

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    Latest Episodes:
    World DBT Summit Coming – Episode 127 Jul 23, 2026
    Show notes Charlie interviews Michaela Swales and Alec Miller, the co-hosts of the DBT World Summit that takes place October 28-30. Learn all that you need to know about this amazing first-ever global event. View video version of this podcast
    Synchronized Swimming – Episode 126 Apr 09, 2026
    Show notes In this podcast Charlie recalls a piece of biological research he did 57 years ago, at college. He pursued the question: how is it that the 2 billion cells of the human heart, each of which has on its own the capacity to contract, beat in synchrony from birth to death every second or so? What are the biological structures that make that possible? And what does it teach us about cooperation, community, interdependency, and synchrony? View video version of this podcast
    Dialectics, Democracy, Tyranny, Trump, and the American Way – Episode 125 Jan 26, 2026
    Show notes In the wake of the recent killing by federal agents of two adults in Minneapolis, this podcast represents an attempt to deepen my perspective on these events, on Donald Trump, and on the forces in our country that have supported him. I close with some thoughts about how to counter him in the coming days. View video version of this podcast
    Does DBT Work as a Model for Understanding and Addressing a Fascist Takeover? – Episode 124 Sep 23, 2025
    Show notes DBT’s emphasis on behavioral specificity, validation, and dialectical thinking, while effective for therapy, must be sufficiently grounded in deep moral convictions and motivational forces if it is to be used to address a fascist takeover of our society. View video version of this podcast
    Bystanders Get Off the Sidelines Please – Episode 123 Aug 15, 2025
    Show notes In this podcast Charlie reviews the six categories of people in the United States insofar as they are actors in the drama between democracy and authoritarianism, highlighting where it might be possible to change the momentum. He then discusses the role of “bystanders” and the psychology of bystanders, with a plea to convert bystanders to more active participants View video version of this podcast
    Nuggets of Gold in Piles of Sand – Episode 122 Aug 12, 2025
    Show notes In this podcast, Charlie reflects on a recent consultation as a window into the way in which memory is tethered to certain moments, as an example of Linehan’s metaphor for validation as finding a nugget of gold in a pile of sand, and as a segue into the integration of DBT and depth psychology in therapy. View video version of this podcast
    Amputation of Morality: What to Do About It? – Episode 121 Jul 03, 2025
    Show notes The perspective within this podcast is that our current political process is seriously dysfunctional, having been taken over by decision-makers who seem disconnected from normal human morality. After noticing the resemblance of that process to what goes on in mob organizations and families, and in some families where incest occurs, we will identify the various roles in this ugly process and consider what can be done to improve things. View video version of this podcast
    Getting Out of Hell and Into Reality – Episode 120 Jun 16, 2025
    Show notes This podcast focuses on the fact that we spend most of our lives living in the stories we tell ourselves about reality, but not in reality itself. Hear how DBT helps us to find our way back to reality, and how doing so increases the quality of our lives and the lives of those around us View video version of this podcast
    What the fuck? Dialectics and Improvisation in Therapy and Everyday Life – Episode 119 May 29, 2025
    Show notes In this podcast, I explore what is meant by dialectics in general, dialectics in the practice of DBT, and especially what it takes to “do dialectics-in-action.” It’s way more common and profound than simply applying dialectical strategies to certain situations. View video version of this podcast
    Wise Mind, Polarization, Dialectics, and Stopping Fascism – Episode 118 May 19, 2025
    Show notes In this podcast, the third in a series, I clarify the place of dialectics in DBT as an antidote to polarization. Using some case examples, I detail how one might use dialectics. Then I bring the same lessons into finding a way to deal with political polarization and what appears to be a fascist takeover. By the end of my search, I find a way. View video version of this podcast
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