tag:blogger.com,1999:blog-26666124.post3790546666275805521..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: Intrusions.Unknownnoreply@blogger.comBlogger30125tag:blogger.com,1999:blog-26666124.post-22567568580796461652010-03-14T19:38:02.993-04:002010-03-14T19:38:02.993-04:00Hope it's not too late to add to this. What a...Hope it's not too late to add to this. What about family crises, etc, especially where the patient's family is dysfunctional and the dysfunction contributes to (or caused) the patient's problems.<br /><br />Internet support groups can be an intrusion, I suppose. That said, it's important to get fuller information since you may only hear about it when it's a problem.<br /><br />The consumerist movement in healthcare.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-54637581460582623172010-02-02T18:44:51.763-05:002010-02-02T18:44:51.763-05:00Oh ya... BEYOND THE COUCH! that's greatOh ya... BEYOND THE COUCH! that's greatSasha8988https://www.blogger.com/profile/12254247857173931919noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-55081881431072140622010-02-02T18:44:02.997-05:002010-02-02T18:44:02.997-05:00how about intense sexual attraction, and/or profou...how about intense sexual attraction, and/or profound cultural differencesSasha8988https://www.blogger.com/profile/12254247857173931919noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-75761699771914637722010-01-30T21:16:42.218-05:002010-01-30T21:16:42.218-05:00(edited for typos)
Things for your book to address...(edited for typos)<br />Things for your book to address:<br />Race, class, gender and their interactions with psychiatry. Such as blacks are more likely to get dx with sz and women seem to be more likely to be dx with something, anything than men are.<br /><br />Are most psychiatrists still male?<br /><br />Stalking. Patients who stalk "providers".Screamhttps://www.blogger.com/profile/13142914784845007952noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-85252425399435131592010-01-30T20:59:17.100-05:002010-01-30T20:59:17.100-05:00This comment has been removed by the author.Screamhttps://www.blogger.com/profile/13142914784845007952noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-41081191644054910212010-01-28T12:44:10.652-05:002010-01-28T12:44:10.652-05:00@Anonymous Re: cybersnooping via Google. I am sure...@Anonymous Re: cybersnooping via Google. I am sure that the your therapist knows where he lives, goes to church and what his hobbies are. No need to tell him.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-26442222749358336912010-01-27T14:59:35.232-05:002010-01-27T14:59:35.232-05:00One that hits close to home - knowing personal thi...One that hits close to home - knowing personal things about your therapist (by way of Google), that they haven't told you. Cyber-snooping. Will he freak out that I know where he lives/goes to church/has as a hobby? Should I even tell him?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-53924523082569027692010-01-26T17:37:14.976-05:002010-01-26T17:37:14.976-05:00A long time ago, I had mentioned once, before he m...A long time ago, I had mentioned once, before he moved his office down the hall, that I had considered, if I ever felt trapped or a building urge or feeling of some kind of having to do something right NOW that I had considered breaking the glass fireplace "screen" in front of the fireplace in his office and using that on my wrists or somehow on self.<br /><br />After I revealed that I wondered for some time into the future how or if that bothered him, or if he'd be prepared to stop me if I tried. Or if he thought that my saying something like that was more of a . . . let's see if he'll stop me if I try kind of a thing.<br /><br />It was more of a, at least at the time I thought it was more of a, if I was feeling desperate, and he had a call he absolutely had to had to take that required privacy and had to step out of the office, and I was in a bad way, and circumstances lined up just right, then it was something that potentially could happen that I could do to myself, but it never did.Sarebearhttps://www.blogger.com/profile/09208596053319110470noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-8200297507379627572010-01-25T08:57:49.684-05:002010-01-25T08:57:49.684-05:00a long, long time ago i was taught that fee negoti...a long, long time ago i was taught that fee negotiation does not stand apart but is in fact part of the treatment in that it helps define one aspect of the boundaries in the relationship. In that way, i would not see it as an intrusion.<br />Suicide attempts--I think any clinician has dealt with a number of those. Like anything else, how they are dealt with will either get in the way of or help propel the treatment forward. <br />None of these things sound like intrusions. They are part of life and therefore part of treatment.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-23132679663623323432010-01-23T09:40:57.062-05:002010-01-23T09:40:57.062-05:00I kind of like "Set the Couch on Fire." ...I kind of like "Set the Couch on Fire." It reminds me of a session with my therapist when a car alarm kept going off just outside the door. When it started, I stopped talking and asked, "is that your car?" He looked weary when he shook his head and told me it's been happening all day...Marienoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-5441166222549924432010-01-22T22:50:30.453-05:002010-01-22T22:50:30.453-05:00I don't like Set the Couch on Fire, but I do l...I don't like Set the Couch on Fire, but I do like "Couch on Fire". If I saw that in a book store, it would make me stop to see what the book was about.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-40177308628718486232010-01-22T20:39:24.463-05:002010-01-22T20:39:24.463-05:00Set the Couch on Fire makes me think of an arsonis...Set the Couch on Fire makes me think of an arsonist therapist.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-56135901202586578212010-01-22T20:37:28.608-05:002010-01-22T20:37:28.608-05:00Impaired physicians. I've heard the % are hig...Impaired physicians. I've heard the % are higher in psychiatry. Not sure if that's true or not.<br /><br />Definitely transference and countertransference can be intrusions. But, not sure how you could adequately address that topic in one chapter.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-81930107756897971262010-01-22T17:21:23.631-05:002010-01-22T17:21:23.631-05:00"Set the Couch on Fire" caught my eye as..."Set the Couch on Fire" caught my eye as the biggest intrusion into my therapy was a fireman pounding on the door ... barging in to evacuate us as there was a "potential" fire on the roof. Awkward, doesn't even cover it. Funny in reflection.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-42247563042317938542010-01-22T03:49:53.841-05:002010-01-22T03:49:53.841-05:00"From The Other End* of the Couch" ?
* ..."From The Other End* of the Couch" ?<br /><br />* or "Side"<br /><br /><br /><br />Don't, at all, like "Set the Couch on Fire" - sounds more like the biog. of a middle-aged rock band.....not quite brave enough to completely trash the hotel room but still wanting to do something "outrageous"! <br /><br />LiseAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-89551541951044208322010-01-22T01:03:49.113-05:002010-01-22T01:03:49.113-05:00I don't know if this is what you mean by "...I don't know if this is what you mean by "intrusions" or maybe these things are closer to the heart of what is going on with the patient but what about:<br /><br />patient losing his/her job or his/her business going down the tubes<br /><br />severe downturn in the economy affecting client finances<br /><br />natural disaster(s) in the patient's area affecting the patientSunny CAhttps://www.blogger.com/profile/11451116932556227816noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-50171373718761686362010-01-21T17:30:50.189-05:002010-01-21T17:30:50.189-05:00I want to throw another vote in there for "tr...I want to throw another vote in there for "travel." It is a struggle for me to maintain any sort of regular schedule with my therapist (less difficult with the psychiatrist, as those visits are less frequent) because I travel for work. I'm lucky, in that my therapist works with me now, but the last one I saw wanted me to come in the same time, the same day of the week, and it just took too much effort. Unfortunately, I also have to travel out of the US for work quite often, usually to countries that don't believe in psychotherapy. So, I would add "cultural expectations" as an intrusion, especially for people who are 1st, 2nd or 3rd generation Americans.JRhttps://www.blogger.com/profile/07300525020981762048noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-75812101707167728242010-01-21T14:48:57.161-05:002010-01-21T14:48:57.161-05:00Writing by focus group, are we?Writing by focus group, are we?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-17906281471327291172010-01-21T12:05:17.203-05:002010-01-21T12:05:17.203-05:00Is it an intrusion to therapy if the only reason I...Is it an intrusion to therapy if the only reason I don't commit suicide is because I don't want to let my therapist down?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-53986260058752704052010-01-21T11:09:09.625-05:002010-01-21T11:09:09.625-05:00If you make it Behind the Couch, you definitely ne...If you make it Behind the Couch, you definitely need to have an illustration at the top of the chapter with the dust bunnies, etc..Notfluffynoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-16491965930708152002010-01-21T09:56:33.177-05:002010-01-21T09:56:33.177-05:00I vote for "Behind The Couch" (due to th...I vote for "Behind The Couch" (due to the dust bunnies, of course.<br /><br />Insurance is a hassle to the doctor/patient process, but what about patients who decide to do self-pay because they don't want a paper trail showing they're getting mental health treatment? (HIPAA aside) Or doctors who decide they are not going to accept insurance, which is fine, but then they argue with you when you don't bring exact change. One psychiatrist argued with me over $5.00. I thought, "Buddy, you may be a good doctor, but you are really stupid to comment about $5.00, letting me know that you're angry because you told me the price and I brought the wrong amount." I had $20 too much and $5too little and no one could make change. He is never going to live that down, no matter what good things come of our relationship.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-67778415599660048072010-01-21T03:49:59.998-05:002010-01-21T03:49:59.998-05:00I have been a fan of Off the Couch ever since the ...I have been a fan of Off the Couch ever since the book was first mooted and it still has my vote.<br /><br />Other issues affecting care: previous experience with meds especially if side effects have been severe; degree of patient's responsibility in following a treatment plan; patient's motivation in wanting to get well: attitude and support of workplace eg ability to take time off for medical appointments; patient's access to a support network - family, friends etc; stigma - will I ssek treatment for fear of being stignmatised; influence of media and how mental illness is portrayed.Mindfulnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-28192464286730143772010-01-20T23:21:53.308-05:002010-01-20T23:21:53.308-05:00btw, dinah et al,
I think you should include the p...btw, dinah et al,<br />I think you should include the post where you compared meds costs via pharmacy, or something to that extent.<br />I think you wrote about that... last year?Rachel Cooper https://www.blogger.com/profile/09487957625202462927noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-8473449639734399742010-01-20T21:55:39.630-05:002010-01-20T21:55:39.630-05:00A minor point on intrusions: address what it does...A minor point on intrusions: address what it does to patients to see drug company reps in the waiting room when they are nervously or suicidally or furiously sitting there waiting for their (late) doctor. Like instantly diminish the credibility of the doctor. Humiliate a shy patient who thought they would be alone in the waiting room. Convince them that their doctor will prescribe whatever s/he is getting the most incentives to prescribe. I know, I know... the rationalization a shrink friend from church has: "I let them in so they give me free samples I can give to patients who can't afford meds." <br /><br />Other ones? Consider the fact that since mental illness and personality problems are largely genetic, the patient in therapy likely has others in their immediate family who need varying degrees of treatment themselves. When a shrink is negotiating with one patient over a fee, or wondering what it "means" to the patient, they should learn to think in terms of family systems also. It isn't all about the transference, but sometimes just limited family finances. In my extended clan, families often have to do triage, and decide which family member gets the therapy, which one gets the expensive meds, and the other ones don't. <br /><br />I may have posted a comment on this here before, but think of maintenance meds in a family with several members in remission. $400 a month just on copays (after deductible) on a good health care plan for their mix of meds. Interestingly, with the multiple new drugs many people take for certain conditions, it may be cheaper now for a person with no insurance to be in therapy regularly than rely solely on meds. <br /><br />Another intrusion? Insurance companies' changing criteria for what they will and won't reimburse for. A major factor in changing patterns of diagnosis (chasing the most likely to reimburse? this already happens in school districts where parents are warned by advocates to refuse certain labels and insist on others, which it has been demonstrated that the district will offer supports for.)Retrieverhttps://www.blogger.com/profile/09036341287285545932noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-77623941463604162832010-01-20T21:39:23.803-05:002010-01-20T21:39:23.803-05:00are you planning to address the issue of transfere...are you planning to address the issue of transference/counter transference - sorta where does the patient's shit end and the shrink's shit begin?<br /><br />I agree with Crystal about previous experience...<br /><br />What about issues relating to:<br />- people who travel frequently for business/family and continuity in the therapy process <br />- optimizing time<br />- What about discussing how the internet can be useful in therapy (ie: for research, blogging, etc)?<br /><br />That's off the top of my head... I'm sure I'll come up with more.Rachel Cooper https://www.blogger.com/profile/09487957625202462927noreply@blogger.com