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[Problems in dealing with difficult patients].

C Reimer1

  • 1Abteilung für Psychotherapie und Psychohygiene, Psychiatrische Uni-Klinik Basel.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|February 19, 1991
PubMed
Summary

Difficult patients and therapists can both strain the doctor-patient relationship. This article explores common challenges and interaction problems from both perspectives in psychotherapy.

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Area of Science:

  • Psychiatry
  • Psychotherapy
  • Clinical Psychology

Context:

  • Explores the dynamics of challenging doctor-patient relationships in clinical psychiatry and psychotherapy.
  • Addresses issues encountered in both inpatient and outpatient therapeutic settings.

Purpose:

  • To characterize patient groups often perceived as difficult by clinicians.
  • To identify and explain problematic interaction patterns stemming from both patient and therapist factors.
  • To offer insights into therapist-related challenges in the therapeutic alliance.

Summary:

  • Presents typical problems encountered with 'difficult patients' in psychotherapy, detailing their characteristics and behaviors.
  • Examines how therapist-specific issues can also create problematic doctor-patient interactions.
  • Draws upon extensive clinical experience in psychiatry and psychotherapy.

Impact:

  • Enhances understanding of therapeutic relationship impediments.
  • Provides clinicians with insights to navigate challenging patient dynamics.
  • Contributes to improving therapist self-awareness and therapeutic effectiveness.

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