Word: psychiatrist
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...Emergency Room). By whatever name, they are doctors' least-loved patients, individuals who use imaginary or self-inflicted physical illnesses to gain attention and manipulate others. The hostility displayed by physicians to these patients, known clinically as somatizers, is usually attributed to irritation and frustration. Now Psychiatrist Charles Ford of the Vanderbilt University School of Medicine offers a more startling explanation for the rancor: physicians and somatizers have a lot in common. The attraction of many doctors to medicine, he suggests, is a kind of somatization: a fear of disease and death...
Patricia Bloom, an internist at New York City's Montefiore Hospital, thinks Ford's position on the similarities between somatizers and doctors may have some validity but is "skeptical that the doctor is fearful for the same reason that the patient is." Arthur Barsky, a psychiatrist at Boston's Massachusetts General Hospital, believes Ford's views are difficult to substantiate. Says he: "The way you treat somebody has a lot to do with the way you think about yourself. That phenomenon is there. Beyond that, it's inference...
...Psychiatrist Resnick, "is heroin...
According to Psychiatrist Resnick's clinical studies of 430 users, compulsive cokeheads tend to be professionally successful. Yet beneath a bouncy, worldly facade, says Resnick, the typical abuser is a certifiable narcissist who has "an undeveloped sense of identity and a profound despair," and "an inability to express ... intense rage toward one or both parents." Rob, 26, a Connecticut native who has sold various drugs for a decade, including cocaine, has his own, hard-boiled theory of addicts. "They're the same kind of people who don't have self-control in other parts of their life," he says...
Throughout, Ephron refuses to allow a note of self-pity; even her title is derisive. Humiliations are always relieved by pratfalls: Mark has been spending time on the psychiatrist's couch-unfortunately, Thelma is on it with him. Rachel's mother breathes her last, and when a nurse covers her with a sheet the old lady sits up, sings "Ta da!", checks out of the hospital and files for divorce...