Word: patient
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Dates: during 1960-1969
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They work this through, and begin to feel better about what they're doing because now they've finally gotten to know their patients and what this stuff means--not analytically, but in terms of interpersonal relationships. And then it's almost time to stop. We have to work through the termination, and we get a genuine depression in each member of the group, as well as in the over-all group. They have to realize that it is up to the patient to retain whatever they've done...
...keep two per cent or 90 per cent of the good, the growth, the change. The whole year may have been spent just in getting to know the patient. That patient is not going to walk out of the hospital this year. Are they going to volunteer next year? This is the point at which the girls start speaking about "my father" instead of "Daddy." They become more realistic about the difficulties involved...
Questions keep coming up in the groups. "My patient wants to double date. What should I do?" We had one funny incident with a charming girl, a good case-aide, whose patient, a lady, told her that her son would not allowed her to see her husband. For 20 years, supposedly, her son had not allowed her to see her husband, who had just had, supposedly, his second coronary up in New Hampshire. The case-aide was all set to take this patient in a car to New Hampshire to see her husband...
Sometimes the case-aide worker becomes possessive of his patient and resents any "interference" by the hospital--sometimes appropriately. Quite correctly at times students feel that the system helps perpetuate an illness and impedes the patient's discharge...
...What the patients have done is to alienate the world. They've withdrawn from it and they've force dit not to want them around, either. The case-aide must mediate between the patient and the community and get them to accept each other more, without doing fancy intra-psychic work--which only the patient can really do. In therapy you don't cure patients. You open doors and try to let the patient go through if he wants...