Authors: F. Irmiš Authors‘ workplace: Psychiatrie a psychosomatika ; Praha 5 Published in: Prakt. Lék. 2008; 88(9): 535-537 Category: Of different specialties
The article presents and analyses comments, situations and behaviour of patients that may stress a healthy listener, despite of their empathic attempts to understand the patient. These include unsuitable, tactless or incomprehensible admissions, manipulation, evocation of a guilt-complex, suicide threat, particularly within the family. Some patients simulate or dissimulate their sickness. A healthy person may find it hard to distinguish this from complaints from anxious, depressive and psychosomatic patients. The emotional state, personality and temperament of the participants also have a bearing. Unstable, borderline and psychopathic personalities may utter statements that can stress the people around them who simply do not know how to react.
Key words: psychosomatic medicine, uncalled-for comments of patients, loss of empathy.
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