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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