Wednesday, May 30, 2012

Youtube



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Sunday, May 20, 2012

The Benefits of Therapy


Moore 1

The Benefits of Therapy

What is some background information on psychiatry?

            Many people believe that therapy is not helpful.  Also the patients may feel ashamed that they need a therapist. They feel scared to share their problems.  They feel as if the therapist cannot sympathize with the patient.  Even though people feel this way they may change their mind after they here about cases on how therapy has helped people.

            Some history behind the relationship between psychological illness and psychiatry is the seven broad categories of psychological stress faced by hospitalized patients are: the basic threat to narcissistic integrity, fear of strangers, separation anxiety, fear of the loss of love and approval, fear of the loss of control of developmentally achieved functions, fear of loss of, or injury to, body parts, reactivation of feelings of guilt and shame, and fears of retaliation for previous transgressions.”  Also according to Strain and Grossman the reactions to stress depend on the persons’ personality.  Psychiatry also deals with attachment.  At first according to Bowlby and Ainsworth attachment was just a hypothesis, but decade’s later attachment was proven to be bio-psychosocial.  The attachment theory is the ability to develop adult interpersonal connections is driven by the texture of patterns formed between the infant and care giver during the first two years of life.  There are three types of attachment secure, anxious, and avoidant.  Secure attachment is generated through all of the meaningful relationships in your adulthood.  Anxious attachment is when a person disconnects to cause the people around them to react.  Lastly, avoidant attachment is when someone avoids negative situations.



What challenges are faced in psychiatry?

            One problem faced in psychiatry is the patient that has an attitude.  This may be the patient that does not know what to expect.  Also the patient that has been through the most.  Psychiatrists give these types of patients four different types of names.  The names are dependent clingers, entitled demanders, manipulative help-rejecters, and self-destructive deniers.  The dependent clinger is usually nice to the therapist, but has a lot of demands for him/her.  If the demands are not met then the patient becomes disconnected.   The entitled demanders are similar to the dependent clinger, but the difference is they understand that their needs may be too much for the therapist.  Also the entitled patient may become violent if rejected.  The manipulative help rejecter is a patient that comes to seek help.  Even though they come to seek help they tend not to use it.  There are two types of self-destructive deniers.  There are the “other deniers” and the “major deniers.”  The major deniers are deniers that use their illness to their advantage.  They will say they are fine even when they know they are not.  The other deniers are the deniers that just have given up.  They know that they are so ill that they do not care anymore and know that it is too late.



What is physician-assisted suicide?

            Physician-assisted suicide is when the patient ask if they should just end their life.  A reason for this is to see if there really is a reason to live.  It is more often for this to be thought by the patient and not asked.  This option has been thought of by 55% of HIV patients.  In a survey 25% of patients have thought about asking for euthanasia.  Depression and pain that cannot be medically cured can increase the thought of physician-assisted suicide.

What is the challenge on how to treat the patient?

 The challenge of how to treat the patient is the knowing what type of medicine to give him/her.  Ways to help this is by observing the patient very carefully.  This can be by taking notes and taking your time to get to know the patient.  Reasons therapist fail on this and why therapy does not work is because the therapist rushes through the appointments and just gives the wrong medicine without observing the patient close enough.



What are steps on how to make psychiatry work?

            Some ways on how to make therapy beneficial are for both the therapist and patient to work together.  The therapist and patient can plan on how to make it work.  The therapist should then gain background on the patient.  Then he or she should design a solution on what would be the best way to treat the patient.





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