Expectations

[gotname]

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Mind sharing your thoughts?

From my experiences and what I've read, there's the "every patient is different" in terms of presentation of sx, coping mechanisms etc. However, there also seems to be an expectation as far as coping or as to how said sx should present etc. which then seem to somehow contradict the "every case is different" outlook.

How often does it affect treatment/your outlook when your patient exceeds or falls short of a dx expectation (what sx should be present, how they should act)?

I guess what I mean is kind of like the pain scale - it is accepted that we all perceive pain differently but the expectation is that, for example, a paper cut should not cause severe pain and one should not be on the floor in tears...if they are, it is questionable. However, passing multiple kidney stones should be incredibly painful and one should be acting like it (whatever that means) and if they aren't, it can be questionable.

 

[nexus73]

Every condition presents on a spectrum. At the extremes, where signs and symptoms are out of proportion to bio/psycho/social stressors, I start thinking about personality disorders, substance use, pathological defenses/lack of coping skills, and factitious or malingering issues.

 

[Shikima]

That's the problem with expectations, never can meet them.

 

[gotname]

That's the problem with expectations, never can meet them.

Reminds me of an episode of one of those Investigation Discovery shows. The police suspected one person because they "fell apart too much" when informed on the passing of their loved one. That was suspicious because it is not the norm. They then suspected another individual (same episode) because they "were too stoic" and that was not normal.

 

[Shikima]

 

[smalltownpsych]

Aha! I didn't expect that. Well, I actually sort of did because every time I hear people talking about expectations I think, "...but no one expects the Spanish Inquistion." Sort of an indelible association for big Monty Python fans.

 

[gotname]

Aha! I didn't expect that. Well, I actually sort of did because every time I hear people talking about expectations I think, "...but no one expects the Spanish Inquistion." Sort of an indelible association for big Monty Python fans.

I suppose that is why Blessed are the Meek as by nature, they have a hell of a time...no expectations and all.

Or is it the Cheesemakers.

 

[smalltownpsych]

I suppose that is why Blessed are the Meek as by nature, they have a hell of a time...no expectations and all.

Or is it the Cheesemakers.

I'm just glad the meek finally get something or did he say the Greeks? Somebody get this guy a microphone, I can't hear a damn thing he's saying.