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Related Experiment Videos

The manipulative patient: an interactional approach.

T B Mackenzie, S D Rosenberg, B J Bergen

    Psychiatry
    |August 1, 1978
    PubMed
    Summary

    The psychiatric term "manipulative" describes a patient's behavior. This perspective reframes manipulation as a communication breakdown within the therapeutic relationship, not solely a patient trait.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Interpersonal Dynamics

    Background:

    • The term "manipulative" is frequently used in psychiatric literature to characterize individuals and their behavioral patterns.
    • These labels attempt to define a core aspect of a patient's interpersonal style.

    Observation:

    • This discussion proposes shifting the focus from the individual to an interpersonal viewpoint.
    • Viewing "manipulative" accusations as part of a communication sequence between caretaker and patient.

    Findings:

    • Labeling a patient as manipulative signifies a breakdown in the therapeutic alliance.
    • This indicates a disruption in the helping process and mutual interaction.

    Implications:

    • Re-evaluating the concept of manipulation in psychiatric contexts is crucial.
    • Understanding manipulation as an interpersonal phenomenon can improve therapeutic relationships and outcomes.

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