From the Other Side of the Couch: Candid Conversations with Psychiatrists and Psychologists

By Chris E. Stout | Go to book overview

Chapter Three
The Patients

This chapter examines why clinicians went into the profession: the patients. I feel this is one of the most fascinating chapters. From a student's viewpoint, it allows a sampling of what to expect. From a professional's perspective, it provides a comparative basis. From a patient's position, it gives insight into the typically veiled personal opinion of a treating therapist. In addition to case discussion, related issues of dealing with gifts from patients, suicide issues, boundaries and limit setting, and factors influencing positive change in patients were also questioned.

Data were collected by asking the subjects to describe a particularly interesting or memorable case. The case could have been difficult and challenging, or unusual and unique--historic, recent, or current. It was up to the clinician. (A secondary result is a picture of what types of cases tend to stand out in a clinician's mind.) The resultant descriptions represent a great variety. Some cases are successful, some are not, and some are successful in spite of therapy. All ages, all settings, many diagnostic categories, and different situations are represented. Some cases present as poly-symptomatic and with multiple or dual-diagnoses. Such variety and complexity has resulted in making categorization a bit difficult. I have chosen to group cases within broad categories and then subcategorize within.

Following the specific case discussions, the subjects were also questioned about their position on setting limits and boundaries with patients (e.g., "Would you ever socialize with a patient?"). Issues involved with

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From the Other Side of the Couch: Candid Conversations with Psychiatrists and Psychologists
Table of contents

Table of contents

  • Recent Titles in Contributions in Psychology ii
  • Title Page iii
  • Contents vii
  • Acknowledgments ix
  • Introduction xi
  • Chapter One - the Training 1
  • Chapter Two - the Practice 13
  • Chapter Three - Chapter Thr 31
  • Chapter Four - the Ethics 73
  • Chapter Five - the Profession 107
  • Chapter Six - the Personal 131
  • Appendix A: The Instrument 159
  • Appendix B: The Sample 163
  • References 167
  • Index 169
  • About the Author 173
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