"The Difficult Patient” Glen Gabbard, M.D. 2018 - APsaA Master Teacher Award Recipient
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- čas přidán 1. 06. 2024
- Glen Gabbard, MD, world-renowned Psychiatrist, Professor, Training and Supervising Analyst, editor and author including Psychodynamic Psychiatry in Clinical Practice: 5th edition, an all-time best seller at American Psychiatric Publishing, and The Psychology of The Sopranos, is the 2018 recipient of the Candidates Council Master Teacher Award. Dr. Gabbard presents a highly relevant, interesting, entertaining and informative discussion which includes effective clinical strategies for managing difficult patient(s) as well as touches on the theoretical foundations of these patients.
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Therapists really love talking about therapy. Given that psychotherapy has so many contradictory schools and theories, it baffles me that any patient who rejects a form a therapy can be labelled as resistant, difficult etc. Some therapies are provoking, detrimental and side step informed consent. The avoidance of discussing harm in therapy illustrates the self-serving nature of professionals and the devaluation of people, who place trust in people obsessed with theory and their reputation. I was pleased to see some acknowledgement by the speaker that the patient is the expert in knowing what it is like to be them. It's just surprising that, as I said, so little is written on harmful therapies (beyond clear boundary violation).
It's not always the therapists though, some times it is really the patient that is intentionally resisting the therapy. People with BPD are known to do this as well as NPD. At the end of the day it is the patient that is responsible for their treatments. The therapists just facilitates them and work with the patient.
@@MrMattias87 @MrMattias87 People with BPD. I@m sorry to so your labels are dangerous more than helpful. You blame failures on patients while avoiding research into the processes and approaches. Rejecting a therapist is not resistance. If the therapist says othing to expalin what is going on i think everyone should run to a therapist who is willing to treat their curiosity and concerns with respect. Saying it's not for everyone is what is said on porn sets to pressure women to finish viiolent sex scenes...... classy.
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@@MrMattias87 OUT WITH THE STIGAMATISING LABELS.....YOU REALLY CAN'T SEE THE HARM......IF THE PATIENT IS RESPONSIBLE I THINK THEY DESERVE MORE INFO BEFORE DECIDING TO ENTER YOUR ROOM
@@MrMattias87 I should have said I've spent five years trying to figure out what my "therapy" was because I carry a sense of failure at something I didn't understand and wasn't explained to me. I just don't understand how a person lost in a power game set up by the therapist can be soley left to carry so much failure.
I am not a therapist; however, it occurred to me that the therapist must always have a part of their brain allocated to analysing themselves at the same time as analysing the client. Not an easy task. Could this be what makes a successful psychoanalyst?
Great scholar
About halfway through and learning a lot, but not getting over how this speech opened with a story about a teenager accused of "failure to launch" and that it was so bad that he got (forcibly?) hospitalized, when in 2021 not having a job/direction at age 19 is probably the most normal thing in the world. I don't think many parents today would be willing to pay to have their kid put in in-patient care because the kid wakes up kinda late. "My teenage son is waking up after... 9am! and he can't find a job! he's clearly a danger to society!"... just seems like another planet.
Thanks for posting this Dr Gabbard inspiring talk, reminding us the essentials of the work.
This guy gets the more than often problem of "somebody just not wanting to do something." No matter how skilled you are. I can get along with that. As a mental heathcare major I can respect the hell out of that. Patience beats stubbornness
I grew up watching SNL every saturday with this dude. I guarantee you he's more than bored in a jagoff formal setting. I'm being presumptuous of course but he's salt of the earth man.
More importantly, he gets the problem of somebody just wanting to “do something”.
Great presentation
Even as a layman, I learned a lot.
Thanks professor gabbard. Its was a great and very helpful speech.
Love it
I'm being telepathically attacked please help me
Fantastic talk
Yes and they will demand an immediate solution as in they want you to fold... to become a behaviorist... to give into the neurotic and narcissistic tendency which have led to the symptoms.
I would have read the journals to him. Drive him nuts.
It's forced 'therapy' like ECT that makes patients 'difficult'. How can you expect compliance from people who have no choice?
Dr. Gabbard has strong resemblance to Ian Richardson (the British actor)
You might think that. I couldn't possibly comment.
@@Quinefan Very droll
Difficult as in non compliant?
Beware if the patient is doing everything right, because you might have some trouble. And who is here acting suspicious/paranoid now..?
who is this guy he is good
He is acknowledged worldwide as one of the best. I am an Australian retired psychiatrist.
They spent 5 minutes stating his credentials at the beginning of the video hahha
Great man, terrible suit
“Difficult patient” is a rude and stigmatising term.
...but less so than what could have been called
It’s a manipulative and self serving statement
@@Hello-zf5lq He also said this to Psychology Today: "The therapist must be present in a way that allows the patient to feel heard, validated, and understood".
@@62maybiesjr BS, sure a good therapist does that but a psychopath therapist can do that and then do bad things too
@@Hello-zf5lq ....Wow, a psychopathic therapist, what a thought!
I sense that you think you may have met one......
I should not want him for a therapist, he shoyuld have contempleated about me instead of just trying to get me out of bed and then just sitting reading the newspaper on my appointment. Have some self-critique: What may be the reason for the patient's not want to come? How much has this man healed himself ? Confidence-evoking and Healing need warmth, calming, mature, emotional.
great talk. thank u