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41 " The child is more individualised than the adult, the patient more than the healthy man, the madman and the delinquent more than the normal and the non-delinquent. In each case, it is towards the first of these pairs that all the individualising mechanisms are turned in our civilisation and when one wishes to individualise the healthy, normal and law-abiding adult, it is always by asking him how much of the child he has in him, what secret madness lies within him, what fundamental crime he has dreamt of committing "
― Michel Foucault
42 " Together with the patient, a therapist looks at the nature of the pain. Often, the therapist can uncover causes of suffering that stem from the way the patient looks at things, the beliefs he holds about himself, his culture, and the world. The therapist examines these viewpoints and beliefs with the patient, and together they help free him from the kind of prison he has been in. But the patient’s efforts are crucial. A teacher has to give birth to the teacher within his student, and a psychotherapist has to give birth to the psychotherapist within his patient. The patient’s “internal psychotherapist” can then work full-time in a very effective way. "
― Thich Nhat Hanh , Peace Is Every Step: The Path of Mindfulness in Everyday Life
43 " Cases of typhoid take the following course:When the fever is at its height, life calls out to the patient: calls out to him as he wanders in his distant dream, and summons him in no uncertain voice. The harsh, imperious call reaches the spirit on that remote path that leads into the shadows, the coolness and peace. He hears the call of life, the clear, fresh, mocking summons to return to that distant scene which he had already left so far behind him, and already forgotten. And there may well up in him something like a feeling of same for a neglected duty; a sense of renewed energy, courage, and hope; he may recognize a bond existing still between him and that stirring, colourful, callous existence which he thought he had left so far behind him. Then, how far he may have wandered on his distant path, he will turn back--and live. But if he shudders when he hears life's voice, if the memory of that vanished scene and the sound of that lusty summons make him shake his head, make him put out his hand to ward off as he flies forward in the way of escape that has opened to him--then it is clear that the patient will die." Buddenbrooks "
44 " Distraction leaches the authenticity out of our communications. When we are not emotionally present, we are gliding over the surface of our interactions and we never tangle in the depths where the nuances of our skills are tested and refined. A medical professor describes the easy familiarity with which her digital-native resident students master medical electronic records—but is troubled by the fact that they enter data with their eyes focused on their digital devices, not on the patient in the room with them. Preoccupation with technology acts as a screen between the student and the patient’s real emotion, real fear, and real concern. It may also prevent these residents from noticing physical symptoms that the patient fails to mention. The easy busyness of medical record entry is a way to sidestep the more challenging dynamics of human connection. But experienced physicians know that interpersonal skills are essential to mastering the art and science of medical diagnosis. "
― , Relevance: Matter More
45 " The DID patient should be seen as a whole adult person with the identities sharing responsibility for daily life. Despite patients’ subjective experience of separateness, clinicians must keep in mind that the patient is a single person and generally must hold the whole person (i.e., system of alternate identities) responsible for the behavior of any or all of the constituent identities, even in the presence of amnesia or the sense of lack of control or agency over behavior.From p8 International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision: Summary version. Journal of Trauma & Dissociation, 12, 188–212. "
― James A. Chu
46 " Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, " It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174 "
47 " As Ernest Becker observes in The Denial of Death, the very thought of disobeying authority appears to awaken the anxiety connected with the possible loss, during infancy, of parental love, respect or support. The unexamined beliefs and experiences that generate our reliance on, and deference to authority, seem rooted in a profound existential uncertainty: the patient looks to the doctor to relieve this uncertainty, not only about not feeling well and not knowing why, but also about not knowing what to do, what action to undertake. In other words, the expertise of the physician relieves the patient of some of the burden of responsibility. "
― , Entheogens, Society and Law: The Politics of Consciousness, Autonomy and Responsibility
48 " If you don't want me to attend the patient I'll go.''But she can't see a doctor now.''Why not?''She isn't well. "
― P.G. Wodehouse , Doctor Sally
49 " Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious " capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!]. "
50 " ...when different identity states convey contradictory information and then have amnesia for what the other identity states said, the patient may be thought to be lying. This can appear to be characterological mendacity when it is not. "
― , Understanding and Treating Dissociative Identity Disorder: A Relational Approach
51 " ...I have this one nasty habit. Makes me hard to live with. I write......writing is antisocial. It's as solitary as masturbation. Disturb a writer when he is in the throes of creation and he is likely to turn and bite right to the bone... and not even know that he's doing it. As writers' wives and husbands often learn to their horror......there is no way that writers can be tamed and rendered civilized. Or even cured. In a household with more than one person, of which one is a writer, the only solution known to science is to provide the patient with an isolation room, where he can endure the acute stages in private, and where food can be poked in to him with a stick. Because, if you disturb the patient at such times, he may break into tears or become violent. Or he may not hear you at all... and, if you shake him at this stage, he bites... "
― Robert A. Heinlein
52 " But while the patient does bear some responsibility, I believe that the onus falls more heavily on the doctor to be attuned to the factors--cultural, ethnic, or just personal style--that influence how patients present their symptoms. "
― Danielle Ofri , What Doctors Feel: How Emotions Affect the Practice of Medicine
53 " Under the heading of " defense mechanisms,” psychoanalysis describes a number of ways in which a person becomes alienated from himself. For example, repression, denial, splitting, projection, introjection. These " mechanisms" are often described in psychoanalytic terms as themselves " unconscious,” that is, the person himself appears to be unaware that he is doing this to himself. Even when a person develops sufficient insight to see that " splitting" , for example, is going on, he usually experiences this splitting as indeed a mechanism, an impersonal process, so to speak, which has taken over and which he can observe but cannot control or stop. There is thus some phenomenological validity in referring to such " defenses" by the term " mechanism.” But we must not stop there. They have this mechanical quality because the person as he experiences himself is dissociated from them. He appears to himself and to others to suffer from them. They seem to be processes he undergoes, and as such he experiences himself as a patient, with a particular psychopathology. But this is so only from the perspective of his own alienated experience. As he becomes de-alienated he is able first of all to become aware of them, if he has not already done so, and then to take the second, even more crucial, step of progressively realizing that these are things he does or has done to himself. Process becomes converted back to praxis, the patient becomes an agent. "
54 " Typically, a psychiatrist can fool a patient by telling him the root of his problem can be fixed with this pill, that support group, and more psychiatry appointments. They don't tell the patient that the really fucked up people never get better. They mask their diseases by dousing them in heavy narcotics to numb their sickness, for years, until the peaceful eternal sleep comes and takes them away. "
― J. Matthew Nespoli
55 " If I were a doctor, I would diagnose his condition thus: " The patient is suffering from nostalgic insufficiency. "
56 " The purported insight achieved by the patient is not the product of a process of veridical self-discovery, but rather reflects the patient’s conversion to the therapist’s interpretation. "
57 " When traveling in rural Africa, it's important to not actually *go* to a hospital until the patient is on the brink of expiration, otherwise things are apt to get worse. "
― , Destination Truth: Memoirs of a Monster Hunter
58 " The art of medicine consists of amusing the patient while nature cures the disease. "
― Voltaire
59 " The physician should not treat the disease but the patient who is suffering from it "
― Maimonides
60 " The freedom of patient speech is necessary if the doctor is to get clues about the medical enigma before him. If the patient is inhibited, or cut off prematurely, or constrained into one path of discussion, then the doctor may not be told something vital. Observers have noted that, on average, physicians interrupt patients within eighteen seconds of when they begin telling their story. "
― Jerome Groopman