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Psychotherapy

Psychotherapy

A significant number of patients have some degree of personality pathology that can interfere with treatment, whether they receive medication or some form of psychotherapy. But how can clinicians develop a strong therapeutic alliance with patients who have personality disorders? An expert explains.

This exchange follows what began with Dr Richard Noll’s article, “Speak, Memory” and the “repressed recovered memory/multiple personality disorder” iatrogenic epidemic of the late 1980s and 1990s.

Painting and writing are ways in which this clinician expresses herself and relaxes after a hard day's work with patients.

What is your first impression of this image and why?

In psychiatry, we do not complete physical exams; much of our diagnosis is born out of our observations, interviews, and conversations. Other medical fields, particularly surgery, require manual, technical, and motor skills. In this manner, psychiatry is unique. More in this commentary.

To some extent, humiliation is part and parcel of the human experience. Some make the case that minor experiences can be psychologically beneficial. The important challenge for mental health professionals to help patients understand and reduce humiliation.

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