Word: psychiatrist
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Back pain can also be a byproduct of difficulties on the job, problems in personal relations, or grief over the death of a loved one. Such "masked depression," notes Psychiatrist Thomas Hackett of Boston's Massachusetts General Hospital, can go on for years. Boredom can have similar effects, says New York Osteopath Richard Bachrach. As he explains it: "A lot of my female back patients are bored, lacking in direction. Back trouble gives them an excuse for their behavior. If they're not getting on with their husbands, they can say, 'Oh, I can't have...
Some medical observers, like U.C.L.A. Psychiatrist Charles Wahl, insist that there is even such a thing as a "backache personality." People in this category tend to be hard driving but lacking in self-confidence. They are also likely to repress anger and avoid conflicts, traits they share with many victims of ulcer and headaches. Says Basmajian: "Back pain is just a tension headache that has slipped down the back...
...behave. If the complaint is deemed too trivial-anxiety, or mild depression-a patient may be told not to come back at all. Hypnosis is often used by doctors to encourage healthier behavior, like trying to get an alcoholic to stop drinking. Says Dr. Vyacheslav Kotov, chief doctor-psychiatrist for the city of Moscow: "A psychiatrist should understand his patient, but only up to a certain point. He doesn't have to turn his brains inside out in an effort to understand the patient fully...
When patients are released, their records go to the local mental health center, which follows up on the case whether the patient cooperates or not. That way, says Yale Psychiatrist Walter Reich, an expert in Soviet therapeutic methods, "no one suffers from neglect, but it is very difficult to get away from the system. If you don't want to be involved with the mental health service, once you are identified as a patient, you get followed nonetheless...
...such matters. Most of his childhood friends make it to Montreal's affluent suburbs and lose their roots in wall-to-wall carpeting. To put on occasional airs is human, but to be a full-time phony is to risk devastating caricature, like Yossel Kugelman who becomes Psychiatrist Jonathan Cole, author of the bestseller My Kind, Your Kind, Mankind...