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P Quotes

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All P Quotes

“Patient acceptance is often considered a weak and passive response to problems that we do not have the power or courage to solve. In reality, however, being patient is far from being passive. There is nothing strong or courageous in reacting to hardship or insults with anger - all we are doing is being defeated by our delusions.”

“Patient stated that she felt like a burden to loved ones" - much later, when I read the notes from the emergency room, I did not have any recollection of the conversation. 'A burden to loved ones': this language must have been provided to me. I would never use the phrase in my thinking or writing. But my resistance has little to do with avoiding a platitude. To say a burden is to grant oneself weight in other people's lives: to call them loved ones is to fake one's ability to love. One does not always want to subject oneself to self-interrogation imposed by a cliché.”

“Patient use of herbal/natural remedies should be identified to reveal likely side effects and avoid potential conflicts with prescribed medications. Patients may not know that “natural” does not necessarily mean “better” or “safe.” As with medication, small doses should be used initially with warnings about adverse reactions. Some herbs with pharmacological effects have been traditionally incorporated in the diet, e.g., herbal teas of peppermint, ginger or chamomile for gastrointestinal symptoms or for improving sleep.”

“Patients are being crushed by the devil’s bargain. Between the 6 trillion dollar food industry which wants to make food cheap and addictive and the 4 trillion dollar health care industry which profits off interventions on sick patients and stays silent about the reasons they are getting sick.”

“Patients are taught that there is no correct way to bend or lift, one doesn't need to avoid soft chairs or mattresses, corsets and collars are unnecessary, and in general the great number of admonitions and prohibitions that have become part of back pain folklore are simply without foundation, because TMS is a harmless condition, and there is nothing structurally wrong with the back. Running is not bad for the spine; weak abdominal muscles do not cause back pain; strong back muscles do not prevent back pain; it is perfectly all right to arch the back, swim the crawl or breast stroke; man was meant to walk upright (Homo sapiens and his ancestors have been doing so for somewhere between 3 and 4 million years); a short leg does not cause back pain. One could go on and on. (page 110)”

“Patients find GET harmful Since patient surveys ask whether symptoms got worse, therapies can also be ranked in terms of which cause the most harm. In three large surveys, GET consistently ranked highly for harm, meaning that a higher proportion of patients reported that their symptoms worsened with GET than with other approaches. GET ranked 2nd most harmful of 20 therapies, 1st of 25 and 1st of 15 (Action for ME, 2014: 19; The ME Association, 2010: 10; Action for ME, 2008: 13, respectively).”

“Patients in therapy all begin by protesting, “I want to be good.” If they cannot accomplish this, it is only because they are “inadequate,” can’t control themselves, are too anxious, or suffer from unconscious impulses. Being neurotic is being able to act badly without feeling responsible for what you do. The therapist must try to help the patient to see that he is exactly wrong, that is, that he is lying when he says he wants to be good. He really wants to be bad. Mortality is an empirical issue. Worse yet, he wants to be bad but to have an excuse for his irresponsibility, to be able to say, “But I can’t help it.”

“Patients who develop ME/CFS often lose the natural antidepressant effect of exercise, feeling worse after exercise rather than better. Patients may have a drop in body temperature with exercise. Thus fatigue is correlated with other symptoms, often in a sequence that is unique to each patient. After relatively normal physical or intellectual exertion, a patient may take an inordinate amount of time to regain her/his pre-exertion level of function and competence. For example, a patient who has bought a few groceries may be too exhausted to unpack them until the next day. The reactive fatigue of post-exertional malaise or lack of endurance usually lasts 24 hours or more and is often associated with impairment of cognitive functions. There is often delayed reactivity following exertion, with the onset the next day, or even later.”

“Patients with anorexia nervosa and bulimia nervosa are surrounded by excess food, but their bodies are aware only of starvation. Their behavior is appropriate for a situation in which getting just a few extra calories might make the difference between life and death.”

“Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174”

“Patients with eating disorders contend with an emotional landscape marked by isolation and loneliness as well as shame, guilt, and embarrassment, not to mention a profound hopelessness about the possibilities of emotional connection. Help with these struggles will never be found in a pill or a set of therapeutic exercises, in spite of the potential usefulness of both. It is only through a meaningful emotional connection that we can help patients begin to "bear the unbearable and to say the unsayable".”

“Patients with eating disorders typically report little power to stop their eating disordered behaviors (i.e., reversibility), are often unaware of the thoughts and feelings they have when engaging in them (i.e., self-observation), and, by definition, their behaviors are self-defeating and fail to forward their development in constructive ways (i.e., appropriateness).”

“Patima din glasul lui Ion îl infiora pe Titu. Îndîrjirea, egoismul și cruzimea cu care omul acesta a urmărit o țintă, fără să se uite în dreapta și în stânga, îl infricoșau, dar îl și mișcau. Se gândi la șovăielile lui din vremea aceasta, la zig-zagurile neputincioase, la alergările lui după țeluri de-abia întrezărite și se simți mic în fața țăranului care a mers drept înainte, trecând nepăsător peste toate piedicile, luptând neobosit, împins de o patimă mare. El se frământă cu dorințe nelămurite, făurește planuri peste puterile lui, trăiește cu visuri fermecate, și alături de dânsul viața înaintează vijelios. Un simțământ de slăbiciune îi strânse inima.”

“Patra is going to be pissed." Cory says, with a half smirk. Then she holds out the bottle of creamer and says, "Fix it." “Fix what? Cory! Are you really going to ignore what just happened? That suck face just threatened to take you and me to jail!” “She said trial, but that’s not really the point I am trying to make.” “I know, but it’s the point I am trying to make!” “I know that you’re scared. I am trying to show you why you shouldn’t be.” She pushed the bottle of creamer in front of me again. “I am not SCARED. I’m angry!” I ignore the creamer. “Same thing.” She shrugs. (From The Carver's Magic)”