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

Ғылым және технология

Glen Gabbard, MD, world-renowned Psychiatrist, Professor, Training and Supervising Analyst, editor and author including Psychodynamic Psychiatry in Clinical Practice: 5th edition, an all-time best seller at American Psychiatric Publishing, and The Psychology of The Sopranos, is the 2018 recipient of the Candidates Council Master Teacher Award. Dr. Gabbard presents a highly relevant, interesting, entertaining and informative discussion which includes effective clinical strategies for managing difficult patient(s) as well as touches on the theoretical foundations of these patients.

Пікірлер: 47

  • @GWAYGWAY1
    @GWAYGWAY1 Жыл бұрын

    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?

  • @profhelenoosinowo2324
    @profhelenoosinowo2324 Жыл бұрын

    Great scholar

  • @cadmantheaviator
    @cadmantheaviator2 жыл бұрын

    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 жыл бұрын

    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 жыл бұрын

    @@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 жыл бұрын

    @@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 жыл бұрын

    @@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

    Ай бұрын

    @@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?

  • @Vlbrt1111
    @Vlbrt111122 күн бұрын

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

  • @bellaherz5945
    @bellaherz59452 жыл бұрын

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

  • @robwells230
    @robwells230 Жыл бұрын

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

  • @284mbp
    @284mbp2 жыл бұрын

    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

    5 күн бұрын

    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.

  • @ehsan74827
    @ehsan748274 жыл бұрын

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

  • @audreyh6628
    @audreyh66282 жыл бұрын

    Fantastic talk

  • @Kawaiimuscles
    @Kawaiimuscles4 жыл бұрын

    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 жыл бұрын

    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

    9 ай бұрын

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

  • @c.brownell8618
    @c.brownell86182 ай бұрын

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

  • @Luvlucky
    @Luvlucky2 ай бұрын

    Love it

  • @simonebae8906
    @simonebae89063 жыл бұрын

    I'm being telepathically attacked please help me

  • @danielmeixner7125

    @danielmeixner7125

    5 күн бұрын

    Ikr. "I don't like this patient, ooh how interesting he's recreated the major internal object relationship in his life". Takes no responsibility for what he brings to the interaction whatsoever.

  • @annatevesbanzon1359
    @annatevesbanzon13592 жыл бұрын

    Difficult as in non compliant?

  • @KatJ3st
    @KatJ3st Жыл бұрын

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

  • @ralfmondial7079
    @ralfmondial70793 жыл бұрын

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

  • @jazzechosen
    @jazzechosen4 жыл бұрын

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

  • @Quinefan

    @Quinefan

    3 жыл бұрын

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

  • @jazzechosen

    @jazzechosen

    3 жыл бұрын

    @@Quinefan Very droll

  • @cherihausmann
    @cherihausmann2 жыл бұрын

    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.

  • @aliadidondiaa8024
    @aliadidondiaa80243 жыл бұрын

    who is this guy he is good

  • @chriscantor6329

    @chriscantor6329

    3 жыл бұрын

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

  • @Christina-mz6gz

    @Christina-mz6gz

    3 ай бұрын

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

  • @lisaj5769
    @lisaj5769 Жыл бұрын

    great talk. thank u

  • @petercerda1078
    @petercerda1078 Жыл бұрын

    Great man, terrible suit

  • @Blacksaphireaustralia
    @BlacksaphireaustraliaАй бұрын

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

  • @forgoroe

    @forgoroe

    10 күн бұрын

    Sympathising with the therapist's challenging situation

  • @Medietos
    @Medietos Жыл бұрын

    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.

  • @AR-jo5vv
    @AR-jo5vv3 жыл бұрын

    “Difficult patient” is a rude and stigmatising term.

  • @seymourtompkins

    @seymourtompkins

    3 жыл бұрын

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

  • @Hello-zf5lq

    @Hello-zf5lq

    3 жыл бұрын

    It’s a manipulative and self serving statement

  • @62maybiesjr

    @62maybiesjr

    2 жыл бұрын

    @@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 жыл бұрын

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

  • @GWAYGWAY1

    @GWAYGWAY1

    Жыл бұрын

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

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