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The Very Important Patient
Danielle Gainer1, Allison E Cowan1
1Dr. Gainer is Assistant Professor, and Dr. Cowan is Associate Professor, in the Department of Psychiatry at Wright State University in Dayton, Ohio.
Treating Very Important Patients (VIPs) presents unique challenges for psychiatrists, including boundary issues and transference. This review explores these dynamics and offers therapeutic approaches for effective psychiatric care.
Area of Science:
- Psychiatry
- Psychology
Background:
- Very Important Patients (VIPs), defined by fame, money, power, or status, present unique challenges in psychiatric treatment.
- These patients can evoke strong emotional responses in psychiatrists, potentially creating treatment barriers.
Purpose of the Study:
- To review the specific treatment dynamics associated with VIP patients.
- To explore therapeutic approaches for psychiatrists managing VIP patient cases.
Main Methods:
- Literature review of psychiatric treatment dynamics involving VIP patients.
- Analysis of common challenges and therapeutic strategies.
Main Results:
- VIP status can lead to boundary violations, issues with accompanying entourage, gift-giving, devaluation, scheduling irregularities, and transference/countertransference complexities.
- Specific therapeutic strategies are needed to navigate these challenges effectively.
Conclusions:
- Understanding and addressing the unique dynamics of VIP patient treatment is crucial for successful psychiatric outcomes.
- Psychiatrists require specific approaches to manage the complexities inherent in treating high-status individuals.
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