ECON 1 Lecture Notes - Lecture 20: Acne Vulgaris, Sick Role, Malingering
Document Summary
Includes consultations w: histrionic patients, dependant patients, demanding patients, narcissistic patients, suspicious patients, help-rejecting patients, manipulative patients. Need to be able to recognise patterns of behaviour that lead to problems & respond appropriately. Dramatic, emotional & overwhelming style of presenting. May be seductive toward dr fear of not being taken seriously if not sexually desirable. Often comes across as emotional & flirtatious. Risk dr may respond inappropriately to seductive charm of patient. Likely to make repeated urgent calls between appts & demand special consideration. Risk dr may respond w/ callous regard. Demand their discomfort & problems be eliminated immediately. Mask their own sense of helplessness & weakness while engendering depression, feel & rage. Easily frustrated angry & hostile behaviour. Act as though superior to everyone, including dr. Soon changes to feeling of contempt for dr"s inadequacies. May be rude, arrogant, hostile & demanding. Chronic, deeply ingrained suspicion that others are unreliable, untrustworthy & want to cause them harm.
