"The Difficult Patient” Glen Gabbard, M.D. 2018 - APsaA Master Teacher Award Recipient

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  • Опубліковано 25 лис 2024

КОМЕНТАРІ • 53

  • @cadmantheaviator
    @cadmantheaviator 2 роки тому +33

    Therapists really love talking about therapy. Given that psychotherapy has so many contradictory schools and theories, it baffles me that any patient who rejects a form a therapy can be labelled as resistant, difficult etc. Some therapies are provoking, detrimental and side step informed consent. The avoidance of discussing harm in therapy illustrates the self-serving nature of professionals and the devaluation of people, who place trust in people obsessed with theory and their reputation. I was pleased to see some acknowledgement by the speaker that the patient is the expert in knowing what it is like to be them. It's just surprising that, as I said, so little is written on harmful therapies (beyond clear boundary violation).

    • @MrMattias87
      @MrMattias87 2 роки тому +9

      It's not always the therapists though, some times it is really the patient that is intentionally resisting the therapy. People with BPD are known to do this as well as NPD. At the end of the day it is the patient that is responsible for their treatments. The therapists just facilitates them and work with the patient.

    • @cadmantheaviator
      @cadmantheaviator 2 роки тому +2

      @@MrMattias87 ​ @MrMattias87 People with BPD. I@m sorry to so your labels are dangerous more than helpful. You blame failures on patients while avoiding research into the processes and approaches. Rejecting a therapist is not resistance. If the therapist says othing to expalin what is going on i think everyone should run to a therapist who is willing to treat their curiosity and concerns with respect. Saying it's not for everyone is what is said on porn sets to pressure women to finish viiolent sex scenes...... classy.
      0000

    • @cadmantheaviator
      @cadmantheaviator 2 роки тому +3

      @@MrMattias87 OUT WITH THE STIGAMATISING LABELS.....YOU REALLY CAN'T SEE THE HARM......IF THE PATIENT IS RESPONSIBLE I THINK THEY DESERVE MORE INFO BEFORE DECIDING TO ENTER YOUR ROOM

    • @cadmantheaviator
      @cadmantheaviator 2 роки тому +6

      @@MrMattias87 I should have said I've spent five years trying to figure out what my "therapy" was because I carry a sense of failure at something I didn't understand and wasn't explained to me. I just don't understand how a person lost in a power game set up by the therapist can be soley left to carry so much failure.

    • @brother_of_bruh
      @brother_of_bruh 5 місяців тому

      @@MrMattias87 The patient is not responsible for their treatment, the therapist is. Where did you get the notion that the patient is responsible for their treatment? What would they need the therapist for then?

  • @GWAYGWAY1
    @GWAYGWAY1 Рік тому +11

    I am not a therapist; however, it occurred to me that the therapist must always have a part of their brain allocated to analysing themselves at the same time as analysing the client. Not an easy task. Could this be what makes a successful psychoanalyst?

  • @bellaherz5945
    @bellaherz5945 3 роки тому +8

    Thanks for posting this Dr Gabbard inspiring talk, reminding us the essentials of the work.

  • @profhelenoosinowo2324
    @profhelenoosinowo2324 Рік тому +7

    Great scholar

  • @284mbp
    @284mbp 3 роки тому +9

    About halfway through and learning a lot, but not getting over how this speech opened with a story about a teenager accused of "failure to launch" and that it was so bad that he got (forcibly?) hospitalized, when in 2021 not having a job/direction at age 19 is probably the most normal thing in the world. I don't think many parents today would be willing to pay to have their kid put in in-patient care because the kid wakes up kinda late. "My teenage son is waking up after... 9am! and he can't find a job! he's clearly a danger to society!"... just seems like another planet.

    • @danielmeixner7125
      @danielmeixner7125 4 місяці тому

      The sheer disrespect... to go into the kid's hospital room and stay there when the poor kid is clearly uncomfortable with the situation. Maybe try explaining yourself and siding with him instead of waiting for him to risk speaking to you, that could have saved 4 months.

  • @adamborowicz7209
    @adamborowicz7209 3 місяці тому

    "there is little evidence supporting such interpretation-based change"
    yes, Sir

    • @adamborowicz7209
      @adamborowicz7209 3 місяці тому

      "fundamentally our duty is to the patient not to psychoanalysis" (51:27)
      Sure. Quite amazing that Gibbard thinks it needs to be said (cause it's sort of obvious to any sane person).

  • @ehsan74827
    @ehsan74827 4 роки тому +9

    Thanks professor gabbard. Its was a great and very helpful speech.

  • @robwells230
    @robwells230 Рік тому +4

    Great presentation
    Even as a layman, I learned a lot.

  • @Kawaiimuscles
    @Kawaiimuscles 4 роки тому +6

    This guy gets the more than often problem of "somebody just not wanting to do something." No matter how skilled you are. I can get along with that. As a mental heathcare major I can respect the hell out of that. Patience beats stubbornness

    • @massanylon
      @massanylon 3 роки тому

      I grew up watching SNL every saturday with this dude. I guarantee you he's more than bored in a jagoff formal setting. I'm being presumptuous of course but he's salt of the earth man.

    • @DigitalPsyche
      @DigitalPsyche Рік тому

      More importantly, he gets the problem of somebody just wanting to “do something”.

  • @HierSind
    @HierSind 4 місяці тому +1

    lol they didn’t put the sign back up on the podium 😂

  • @audreyh6628
    @audreyh6628 2 роки тому +1

    Fantastic talk

  • @c.brownell8618
    @c.brownell8618 6 місяців тому +4

    It's forced 'therapy' like ECT that makes patients 'difficult'. How can you expect compliance from people who have no choice?

  • @Luvlucky
    @Luvlucky 6 місяців тому

    Love it

  • @cherihausmann
    @cherihausmann 2 роки тому +3

    Yes and they will demand an immediate solution as in they want you to fold... to become a behaviorist... to give into the neurotic and narcissistic tendency which have led to the symptoms.

  • @KatJ3st
    @KatJ3st Рік тому

    I would have read the journals to him. Drive him nuts.

  • @annatevesbanzon1359
    @annatevesbanzon1359 2 роки тому +1

    Difficult as in non compliant?

  • @ralfmondial7079
    @ralfmondial7079 4 роки тому +3

    Beware if the patient is doing everything right, because you might have some trouble. And who is here acting suspicious/paranoid now..?

  • @jazzechosen
    @jazzechosen 4 роки тому +1

    Dr. Gabbard has strong resemblance to Ian Richardson (the British actor)

    • @Quinefan
      @Quinefan 4 роки тому +1

      You might think that. I couldn't possibly comment.

    • @jazzechosen
      @jazzechosen 4 роки тому +1

      @@Quinefan Very droll

  • @nickparton5663
    @nickparton5663 Місяць тому

    Ah, I see, so if the patient disagrees with any aspect of the therapist's assessment of the patient, they are "difficult". I never thought I'd end up becoming leery of anentire profession, but therapy really has done nothing of particular worth for me over the last 27 years, despite following plans and suggestions to the letter. I'd prefer to believe in disciplines that are rooted in observational science, but I have become very disillusioned with the field, and this guy seems to really like the sound of his own voice.

  • @lisaj5769
    @lisaj5769 Рік тому +1

    great talk. thank u

  • @aliadidondiaa8024
    @aliadidondiaa8024 3 роки тому +5

    who is this guy he is good

    • @chriscantor6329
      @chriscantor6329 3 роки тому +5

      He is acknowledged worldwide as one of the best. I am an Australian retired psychiatrist.

    • @Christina-mz6gz
      @Christina-mz6gz 7 місяців тому +1

      They spent 5 minutes stating his credentials at the beginning of the video hahha

  • @petercerda1078
    @petercerda1078 2 роки тому

    Great man, terrible suit

  • @Medietos
    @Medietos Рік тому +1

    I should not want him for a therapist, he shoyuld have contempleated about me instead of just trying to get me out of bed and then just sitting reading the newspaper on my appointment. Have some self-critique: What may be the reason for the patient's not want to come? How much has this man healed himself ? Confidence-evoking and Healing need warmth, calming, mature, emotional.

  • @Blacksaphireaustralia
    @Blacksaphireaustralia 5 місяців тому

    Comedy? Why were people laughing, I didn't get the jokes

    • @forgoroe
      @forgoroe 4 місяці тому

      Sympathising with the therapist's challenging situation

  • @AR-jo5vv
    @AR-jo5vv 4 роки тому +16

    “Difficult patient” is a rude and stigmatising term.

    • @Me_ThatsWho
      @Me_ThatsWho 3 роки тому +7

      ...but less so than what could have been called

    • @Hello-zf5lq
      @Hello-zf5lq 3 роки тому +7

      It’s a manipulative and self serving statement

    • @62maybiesjr
      @62maybiesjr 2 роки тому +5

      @@Hello-zf5lq He also said this to Psychology Today: "The therapist must be present in a way that allows the patient to feel heard, validated, and understood".

    • @Hello-zf5lq
      @Hello-zf5lq 2 роки тому +4

      @@62maybiesjr BS, sure a good therapist does that but a psychopath therapist can do that and then do bad things too

    • @GWAYGWAY1
      @GWAYGWAY1 Рік тому +2

      @@Hello-zf5lq ....Wow, a psychopathic therapist, what a thought!
      I sense that you think you may have met one......

  • @JeeprzCreepers56
    @JeeprzCreepers56 2 місяці тому

    So many armchair therapists in here...