Know People to Aid the Mentally Ill
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He said there are many kinds of approaches in treating this type of patient and many forms of psychothera-py are effective. It doesn't matter why the treatment is effective, he added, but it is vital that the effective therapy for the individual be discovered and used. One approach he named was pounding home the unreality of the person's guilt response. Another he told of is rational cognitive therapy. This is when the patient is brought to the realization of iow he subconsciously rationalizes or provides a plausible but untrue reason for his actions. Drugs were said to be helpful not only to patients, but to the attendants. Before drugs were used for restraining and calming patients, a t t e n d a n t s had a difficult job, Dr. Schober said. A minister asked if some patients trade on their illness to provide an excuse for doing things they otherwise would not try to get away with. Dr. Schober said some do to such an extent, but this also is part of their illness. "It is a rare person who can feign mental illness and not be discovered," Dr- Schober declared. He said many mentally or even physically ill persons do derive what is known as a secondary gain from their illness. He said this is a replacement for a more mature gratifi-cation of desires. The psychiatrist has to understand what the person is unable to acquire in real life that being sick replaces, he explained. Character disorders were described as disturbances resulting from some kind of psychological illness characterized by behavior rather than feelings. Usually, p said, the patient is not aware of the behavior. Traits Versus Disturbance The psychiatrist said it is often difficult to draw the line between plain 4 As Important as Therapy Techniques Know People to Aid the Mentally Ill By Ellen Molloy Times Religion Writer Ark-La-Tex ministers were told by a psychiatrist that knowledge of people Is just as important as mastering tech-niques of therapy in helping the mentally ill. Dr. Charles C. Schober, head of the Department of Psychiatry at Louisiana State Medical School in Shreveport, spoke on approaches to mental illness at this week's session of Clinical Pastoral Training Conference at Schumpert Hospi-. tal. "Backslapping and telling a disturbed person that he is the greatest is not supportive therapy," Dr. Schober said. "Often, one of the most supportive things that can be done is just to listen and attempt to understand the person — letting the person know that he is understood is helpful," the psychiatrist said. Motives Need Assessing The ministers were told that human problems need assessment of motives, which often may be subsconscious. "Couples may have to be seen together and separately to determine what the problems in their marriage may be," the doctor said. Often, he added, people are totally unaware that they are eliciting (provoking) certain responses or undesirable action from their partner- "It is hard to believe that people can use techniques or behavior that cause them much difficulty and not be aware of their actions," Dr. Schober said. They actually do this, he added. Psychiatrists have begun to learn in the last decade that there is a need to COURSE ENDED Last week's was the final session of this semester of Clinical Pastoral Training Conference. A new one will begin next September. Any minister in the Ark-La-Tex may register for the new sessions. There is a registration fee- Co-chairmen of the conference are Dr. Charles Schober, psychiatrist, and the Rev. Kenneth Gibson, pastor of Parkview Baptist Church. either treat a patient's family or at least understand the interaction between fami-ly members. "Some husbands and wives are both tremendously competitive and when one is dominant or has the upper hand the others become disturbed or even mental-ly ill," Dr. Schober explained. He told of a case in which a woman had developed a sucidal depression. Investigation of her family life revealed that her husband drank heavily, was away from home a good deal and was verbally, but not physically abusive, to her when he was home. Dr. Schober related that as the woman was treated and became the stronger partner, her husband's alcohol-ism became more acute- This couple was said to be very competitive and when one gained dominance the other became sicker. Persons who have compulsive behav-ior such as washing hands every few minutes were said to be burdened with extreme unrealistic guilt and the source of the misplaced guilt must be under-stood to help the patient get well. "This requires deeper analysis than many types of mental illnesses. The past and present must constantly be interwov-en for the patient until he can rid himself of needless guilty feelings." Dr. Schober explained. True guilt exists and is appropriate when one has done some-thing morally wrong, he added. old personality traits and a pattern of disturbance in a personality. "It is a matter of duration and extent and everybody for a little time here and there exhibits some neurosis, according to Karl Menninger," Dr. Schobar said- He explained that there is more anti-social behavior and less mental disruption in character disorders. An impulsive person may steal because he- is immature and has very little control over his impulses and wants instant gratification, the psychiatrist said. A kleptomaniac steals because he is driven by a compulsion over wh'ch he has no control and does not understand consciously the reason for his stealing. Embezzlers were described as people who act so normal that generally they cannot be distinguished from other people until they are caught. These people nearly always think they intend to pay back the money they are embezzling, when often the amount is so large it would be impossible for them to do so, Dr. Schober said.
|Title||Know People to Aid the Mentally Ill|
Schober, Charles C.
Psychiatry Department (Louisiana State University Health Sciences Center - Shreveport)
|Identifier||See reference URL on the navigation bar.|
|Source||Louisiana State University Health Sciences Center Shreveport Medical Library (http://lib.sh.lsuhsc.edu)|
|Coverage-Spatial||Shreveport (Caddo, La.)|
|Rights||Physical rights are retained by Louisiana State University Health Sciences Center Shreveport. Copyright is retained in accordance with U.S. copyright laws.|