November 20th, 2011 by Dinah Miller, M.D. in Opinion
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Psychotherapy is, by it’s nature, a narcissistic endeavor. That’s not to say that the patient is a narcissist, but the journey itself is meant to focus on patient’s interior life, and it’s not always about the greater good. In my last post, several commenters said they feel uncomfortable talking about themselves or worry that their therapist will mistakenly think they are narcissistic because they talk about themselves in therapy.
It’s not at all unusual for people to express some discomfort about talking about themselves in therapy, or to comment, “all I do in here is complain,” or “You must get tired of hearing people complain/talk about their problems, etc….”
I won’t talk for other psychotherapists because I only know how I feel. It seems to me that the mandate of therapy is for the patient to talk about the things they have been thinking about. The truth is that most people think about themselves, and issues of the world are interpreted by individuals as they impact them. Some people Read more »
*This blog post was originally published at Shrink Rap*
November 19th, 2011 by Bryan Vartabedian, M.D. in Opinion, True Stories
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It’s funny what we remember. As a 3rd year medical student rotating in surgery I remember quite clearly sitting in my attending’s office at Worcester Memorial Hospital. He was a vascular surgeon. I don’t remember his name. On this particular day I had followed him to his office after rounds. He had just received his new pager and placed a call to whomever had sent him the device.
It seemed there was a problem. The device lacked the latest pager feature: vibration. His current pager only beeped. The dialog centered around his on-call demands as a vascular surgeon and his love for the symphony. With a buzzing pager he Read more »
*This blog post was originally published at 33 Charts*
November 19th, 2011 by ChristopherChangMD in Video
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Our office has produced a new video describing “where” snoring comes from determined by a simple procedure known as sedated or sleep endoscopy. At its most basic definition, snoring is noise produced from a vibrating mucosal surface in the upper airway.
Though snoring can be defined simply, the tough question is WHERE are these vibrating mucosal surfaces? Because unless one can define WHERE the snoring is coming from, successful treatment can’t be pursued definitively.
An office exam performed while a patient is awake is suboptimal as the patient is awake… and not snoring. As such, it is an educated guess where the snoring problem is stemming from.
To this end, Read more »
*This blog post was originally published at Fauquier ENT Blog*
November 19th, 2011 by Toni Brayer, M.D. in Research
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Low back pain is one of the most common conditions to affect humans. More than 80% of Americans experience low back pain at some time in their lives and “chronic” pain is on the rise as people live longer and get heavier. Numerous studies have shown that doctors and patients underutilized exercise as a treatment for chronic back and neck pain even though it has been shown to be effective. A new study was published in the Annals of Internal Medicine that showed yoga to be an effective treatment for chronic low back pain.
The study authors took two groups of patients and compared yoga to usual care for chronic or recurrent low back pain. All patients received a back pain education booklet, but the study group also received Read more »
*This blog post was originally published at EverythingHealth*
November 19th, 2011 by KennyLinMD in Opinion
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In the face of accumulating evidence and a U.S. Preventive Services Task Force finding that PSA screening for prostate cancer does more harm than good, the most frequent response I hear from physicians who continue to defend the test is that PSA is all we have, and that until a better test is developed, it would be “unethical” to not offer men some way to detect prostate cancer at an asymptomatic stage. (However, these physicians for the most part don’t question the ethics of not offering women screening for ovarian cancer, which a recent randomized trial concluded provides no mortality benefit but causes considerable harms from diagnosis and treatment.)
I’m currently reading historian Stephen Ambrose’s dual biography of Oglala Sioux leader Crazy Horse and Civil War cavalry general George Armstrong Custer, whose troops were routed by the Sioux at the famous Battle of Little Bighorn in 1876. One premise of the book is that the same aggressive instincts that served Custer so well during the Civil War Read more »
*This blog post was originally published at Common Sense Family Doctor*
Psychotherapy is, by it’s nature, a narcissistic endeavor. That’s not to say that the patient is a narcissist, but the journey itself is meant to focus on patient’s interior life, and it’s not always about the greater good. In my last post, several commenters said they feel uncomfortable talking about themselves or worry that their therapist will mistakenly think they are narcissistic because they talk about themselves in therapy.
