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Patient Denies Pain Patient denies pain Presents without affect Baseline speech rapid Family history ETOH High social functioning Reports memory loss Admits of skepticism Reality testing good Agrees: needs to set boundaries but how? Appropriate boundaries might exclude those for whom patient once felt love Patient denies pain Upset that lab test results were reported by non-g-d-like underling. Wants to know, “How can you promise me this won’t happen again?” Admits to anger at non-denial denial Patient denies pain No objective failure but plenty of subjective distress Presses for long-term, best-guess I-won’t-hold-you-to-it prognosis Attempt is made to offer alternative therapies, but patient declines treatment Patient denies pain |
Additional Notes:
ETOH = chart notation for alchoholism
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