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21 " Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or " second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who " seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable " attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation. "
22 " The physical shape of Mollies paralyses and contortions fit the pattern of late-nineteenth-century hysteria as well — in particular the phases of " grand hysteria" described by Jean-Martin Charcot, a French physician who became world-famous in the 1870s and 1880s for his studies of hysterics..." " The hooplike spasm Mollie experienced sounds uncannily like what Charcot considered the ultimate grand movement, the arc de de cercle (also called arc-en-ciel), in which the patient arched her back, balancing on her heels and the top of her head..." " One of his star patients, known to her audiences only as Louise, was a specialist in the arc de cercle — and had a background and hysterical manifestations quite similar to Mollie's. A small-town girl who made her way to Paris in her teens, Louise had had a disrupted childhood, replete with abandonment and sexual abuse.She entered Salpetriere in 1875, where while under Charcot's care she experienced partial paralysis and complete loss of sensation over the right side of her body, as well as a decrease in hearing, smell, taste, and vision. She had frequent violent, dramatic hysterical fits, alternating with hallucinations and trancelike phases during which she would " see" her mother and other people she knew standing before her (this symptom would manifest itself in Mollie). Although critics, at the time and since, have decried the sometime circus atmosphere of Charcot's lectures, and claimed that he, inadvertently or not, trained his patients how to be hysterical, he remains a key figure in understanding nineteenth-century hysteria. "
23 " Maniacal suicide. —This is due to hallucinations or delirious conceptions. The patient kills himself to escape from an imaginary danger or disgrace, or to obey a mysterious order from on high, etc. "
― Émile Durkheim , Suicide: A Study in Sociology
24 " Success is like the most beautiful woman:pursued by many, loved by all, feared by few,courted by the patient and hardworking,and won over by good judgment. "
25 " You stand for what is right-for the patient and the staff.Pressures of work may down you,maybe bent but not broken. "
― , No Return Address: A collection of poems
26 " Macbeth: How does your patient, doctor?Doctor: Not so sick, my lord, as she is troubled with thick-coming fancies that keep her from rest.Macbeth: Cure her of that! Canst thou not minister to a mind diseased, pluck from the memory a rooted sorrow, raze out the written troubles of the brain, and with some sweet oblivious antidote cleanse the stuffed bosom of that perilous stuff which weighs upon her heart.Doctor: Therein the patient must minister to himself. "
― William Shakespeare , Macbeth
27 " Complaints of feeling cut off, shut off, out of touch, feeling apart or strange, of things being out of focus or unreal, of not feeling one with people, or of the point having gone out of life, interest flagging, things seeming futile and meaningless, all describe in various ways this state of mind. Patients usually call it 'depression', but it lacks the heavy, black, inner sense of brooding, of anger and of guilt, which are not difficult to discover in classic depression. Depression is really a more extraverted state of mind, which, while the patient is turning his aggression inwards against himself, is part of a struggle not to break out into overt angry and aggressive behaviour. The states described above are rather the 'schizoid states'. They are definitely introverted. Depression is object-relational. The schizoid person has renounced objects, even though he still needs them. "
― , Schizoid Phenomena, Object Relations and the Self
28 " …it seemed to Kirsch that the most reliable guide to the mental landscape of a patient was the patient himself. He was better placed to explain his behaviour and his experiences than anyone else. Yet wherever Kirsch went, the patient was the very last person anyone thought to consult. Because, of course, the patient was insane. "
― Philip Sington , The Einstein Girl
29 " When psychotherapy began, it was about the practitioner listening to a patient and interpreting what the patient said, in order to afford the patient insights about his or her psyche. But now we understand that the main curative part of psychotherapy is the relationship itself. It appears not to be relevant which psychology school the practitioner belongs to. What matters is the quality of the relationship and the practitioner's belief in what he or she is offering. "
30 " Getting over it so soon? But the words are ambiguous. To say the patient is getting over it after an operation for appendicitis is one thing; after he’s had his leg off is quite another. After that operation either the wounded stump heals or the man dies. If it heals, the fierce, continuous pain will stop. Presently he’ll get back his strength and be able to stump about on his wooden leg. He has ‘got over it.’ But he will probably have recurrent pains in the stump all his life, and perhaps pretty bad ones; and he will always be a one-legged man. There will be hardly any moment when he forgets it. Bathing, dressing, sitting down and getting up again, even lying in bed, will all be different. His whole way of life will be changed. All sorts of pleasures and activities that he once took for granted will have to be simply written off. Duties too. At present I am learning to get about on crutches. Perhaps I shall presently be given a wooden leg. But I shall never be a biped again. "
― C.S. Lewis , A Grief Observed
31 " Surely a good therapist should produce a Dorian Gray-style portrait from under the couch so the patient can see the person they really are. "
― Rosamund Lupton , Sister
32 " The man breathed deeply with his eyes shut and his speech trailed off. Nick approached the patient with the syringe in hand, nodding. He turned the machine up now, almost all the way, and then proceeded with the injection." I think you're about ready. "
33 " ... we have created a man with not one brain but two. ... This new brain is intended to control the biological brain. ... The patient's biological brain is the peripheral terminal -- the only peripheral terminal -- for the new computer. ... And therefore the patient's biological brain, indeed his whole body, has become a terminal for the new computer. We have created a man who is one single, large, complex computer terminal. The patient is a read-out device for the new computer, and is helpless to control the readout as a TV screen is helpless to control the information presented on it. "
― Michael Crichton , The Terminal Man
34 " The cultural past is rigidly deterministic to the extent that the individual is unaware of it. An analogy, of course, is found in any psychoanalytic treatment: the patient is rigidly determined by past experiences and previously developed patterns to the extent that he is unaware of these experiences and patterns. "
― Rollo May , The Meaning of Anxiety
35 " Some people with DID present their narratives of sadistic abuse in a quite matter-of-fact way, without perceptible affect. This may sometimes be done as a way of protecting themselves, and the listener, from the emotional impact of their experience. We have found that people describing trauma in a flat way, without feeling, are usually those who have been more chronically abused, while those with affect still have a sense of self that can observe the tragedy of betrayal and have feelings about it. In some cases, this deadpan presentation can also be the result of cult training and brainwashing. Unfortunately, when a patient describes a traumatic experience without showing any apparent emotion, it can make the listener doubt whether the patient is telling the truth. (page 119, Chapter 9, Some clinical implications of believing or not believing the patient) "
― , Forensic Aspects of Dissociative Identity Disorder (Forensic Psychotherapy Monograph Series)
36 " Ignore ignorance? You might as well withhold medicine from a very sick patient. Not only will the patient get worse, the disease will spread. "
37 " Falsehood flies, and truth comes limping after it, so that when men come to be undeceived, it is too late; the jest is over, and the tale hath had its effect: like a man, who hath thought of a good repartee when the discourse is changed, or the company parted; or like a physician, who hath found out an infallible medicine, after the patient is dead. "
― Jonathan Swift
38 " Mr Pickwick awoke the next morning, there was not a symptom of rheumatism about him; which proves, as Mr Bob Sawyer very justly observed, that there is nothing like hot punch in such cases; and that if ever hot punch did fail to act as a preventive, it was merely because the patient fell in to the vulgar error of not taking enough of it. "
― Charles Dickens , The Pickwick Papers
39 " Nick leans down and kisses my eyelids. “Loving you, Zara, is a full-time job. It’s a great job, don’t get me wrong. It’s the best job in the universe. But it is not easy, because you tend to . . .”“Get hurt?” Betty suggests. “Find trouble? Pass out? Break arms?”“All of the above.” Nick laughs.My hand finds Nick’s wrist and I grab onto its thickness. “You know, I’m the patient here. Where’s the bedside manner? Where’s the sympathy?”“Zara, sympathy is just a good excuse to buy greeting cards and make sorry eyes and secretly gloat over how glad you are that you aren’t the person whose crap is hanging out there for the world to see,” Betty says. "
― Carrie Jones , Captivate (Need, #2)
40 " One physician may gravely exaggerate an illness and give up hope altogether. Another may ignorantly declare that there is no illness and that no treatment is necessary, thus deceiving the patient with false consolation. You may call the first one pessimistic and the second one optimistic. Both are equally dangerous. "
― Walpola Rahula