By Margaret E. Backman
The reason of this booklet is to check the mental and social worlds of bodily unwell patients-an quarter that really wishes realization this day, because the nice advances in scientific technological know-how have triggered many to reduce pa tients' emotional matters. although, the pendulum has all started to swing again to the interrelationship of physique and brain. caliber of existence is back turning into a serious attention in therapy. In writing the publication i've got drawn upon my very own scientific studies as a psychologist operating with the bodily in poor health. i've got additionally drawn upon reviews of the mental elements in scientific ailment, and that i used to be happy to discover a growing to be physique of analysis. even if the e-book is basically directed to psy chotherapists, it is going to profit someone focused on the care of these with scientific difficulties, akin to friends and family, in addition to doctors. vii Acknowledgments i might fairly wish to thank Redjeb Jordania for his unending endurance, aid, and encouragement from the very starting of this undertaking, and for his worthwhile feedback and editorial reviews alongside the way.
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Extra info for The Psychology of the Physically Ill Patient: A Clinician’s Guide
Paul went on to explain that at home he still dressed by an open closet 34 I • UNDERSTANDING THE PHYSICALLY ILL PATIENT door, so he could step inside in case someone came into his room. He said he had never seen any member of his family undressed. Paul also remembered when he was wheeled into the operating room, screaming and crying. "1 felt like I would never come back. I wasn't afraid of dying," he explained. " Paul's case illustrates the fears of separation from parents, as well as the feelings of vulnerability.
4. Intellectualization Intellectualization is another way of separating feelings from thoughts. With this defense there is an emphasis on logic and knowledge. It is an attempt to try to take control in a situation where one feels vulnerable and out of control. Intellectualization can take the form of reading about one's illness and asking questions in an attempt to understand the nature and course of the disease. 5. Regression Under the impact of a serious illness, a person's behavior may regress to that of an earlier period-for example, crying, becoming helpless and dependent.
THE STRUGGLE FOR DIGNITY The argument is often made by physicians and others that the medical concerns related to life and death come first, with psychological and qualityof-life issues a distant second. It is a strong argument, yet those working with the severely ill know how often issues of quality of life come up. Physical pain and suffering are not the only kind of suffering a patient must endure, and to ignore or minimize emotional distress may be akin to operating without anesthesia. The following example illustrates the emotional upset that can come from an attack on a patient's dignity.
The Psychology of the Physically Ill Patient: A Clinician’s Guide by Margaret E. Backman