Posted by alexandra_k on September 16, 2004, at 21:44:46
In reply to Re: CLuster C Personality Disorders, posted by CatFanatic on September 16, 2004, at 19:51:33
There is meant to be something unethical about continuing to see a client when there is no evidence that seeing them is effective / of any benefit. Of course just who gets to make that call and decide whether you have gotten any better or not is a bit dodgey - I have had problems with people giving up on me and saying I haven't improved enough for them to continue working with me and I was devastated - I thought I was progressing well enough...
I have sympathy for your anger - I feel like that a lot at times. I do say that I have to disagree with you with respect to 'the idiots with the lowest grades in med school become shrinks'. I disagree because I think that to be an MD at all you have to do fairly well, and to specialise at all you have to do very well indeed. We get lots of Eastern shrinks over here - but then that is because they get more in the conversion to $NZ; we are (in general) a nice country to live in (Better than living in a place where there is a war on, no doubt), and most of ours immigrate over there, would you believe.
I do have to say that while I understand your anger your comment on that struck me as racist - in the sense that others are likely to respond to you with anger in kind.
Psychiatry isn't a science (with respect to psychotherapy - only with respect to meds). People often say that they feel better, or that they have improved in their functioning - so does that count as 'getting better' in your book?
I don't have a dx of 'avoidant personality disorder' but that is probably because there are only so many lines provided for diagnosis! t's often tell me that I am particularly avoidant. But I believe that (in general) I am getting better, I am improving. While I may never reach the ideal of the other end of the bell curve - sometimes I FEEL better and I am better able to do what I want to do with my life so I think I have improved though I have a long way to go.
Good luck to you
poster:alexandra_k
thread:391669
URL: http://www.dr-bob.org/babble/20040915/msgs/391775.html