Yang sering w angkat dalam supervisi PPDS: obat dan pemberian obat itu tetep punya makna tersendiri (baik yang sadar ataupun nirsadar) buat pasien, terlepas dari urusan farmadinamik/kinetiknya
It was already well known that prescribers who present as warm (Rickels et al. 1971) or empathetic (Downing et al. 1973) tend to elicit more robust therapeutic effects from prescribed medications. Analysis of clinician effects (including both prescribers and psychotherapists) in this study supported these earlier findings (Blatt et al. 1996a, 1996b). The more caring, empathic, open, and sincere that patients experienced their doctors to be, the better their outcome ratings became. The more effective prescribers also had in common a psychological rather than biological orientation to treating depression and appeared to place less unitary emphasis on medication. Although there are likely many ways that a psychological perspective on patients benefits pharmacological treatments, one likely mechanism is that this way of working is experienced by patients as empathic.
Indeed, a psychodynamic formulation of their patients' troubles is known to help treaters preserve a measure of empathy in working with even the most challenging patients (Treloar 2009). Empathy, in turn, is well known to support positive outcomes across a range of treatments and medical conditions (e.g., Kaplan et al. 2013; Squier 1990).
Just had a patient who was put on 20 mg fluoxetine while he already had:
- 150 mg of clomipramine
- 400 mg lithium
- 60 methylphenidate IR
Can you see what's wrong?
iya menterinya bukan dokter, tapi wakil menteri dan jajaran2 direkturnya kan banyak dokter. apa iya dia beneran ga tau jawaban pertanyaannya ini? atau drama as usual?
All psychological defenses are efforts to live in fantasy rather than the world. Defenses distort reality. The greater the distortion, the higher the cost.
AI companions are may be new. But the wish to live in fantasy is as old as humankind.
@afifanharyawan isunya sih bener, tapi ngarep komitmen kementerian as if we don't know itu digoreng buat agenda terselubung dan bukan demi nakes is ummm...