1.

Record Nr.

UNINA9910427858203321

Autore

Lerman Alexander

Titolo

The non-disclosing patient : a clinician's guide / / Alexander Lerman

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2020]

©2020

ISBN

3-030-48614-1

Edizione

[1st ed. 2020.]

Descrizione fisica

1 online resource (XVIII, 245 p.)

Disciplina

616.8914

Soggetti

Psychiatry

Clinical psychology

Family medicine

Physicians (General practice)

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Includes index.

Nota di contenuto

Part I: DND & The Clinical Encounter -- A Personal Encounter with Deceit -- The Psychiatric Interview -- Types of Interviews, and Types of Listening -- Therapeutic and Anti-therapeutic Relationships -- Engaging Deceit -- Deceit and Its Meaning -- Part II: Personality Functioning and DND -- Neurobiology of Deception -- Shared Consciousness and the Emergence of Mind -- Personality Disorders, Psychopathy and Deceit -- Non-disclosure, Deceit and Denial in Patients with Substance Use Disorders -- Assessment and Implications for Psychotherapeutic Treatment -- Part III: Assessment in a "Gated" Simulated Patient Interview -- "Biggie" Assessing Process in a "Gated" Simulated Patient Interview -- Simulated Case Scenario: Karl Moehller.

Sommario/riassunto

This volume is to examine the phenomena of non-disclosure in its wide ranging forms, study its properties, and to deepen the capacity of a mental health professional --as well as all clinicians who provide mental health counseling -- to detect and engage it across a range of clinical settings. Unengaged, sustained DNDD represents an impasse that is destructive to a clinician’s capacity to both understand and treat a patient. Successfully engaged, on the other hand, DNDD offers a unique perspective on in individuals anxieties, presuppositions, and mental functioning. A clinician who is both aware that a patient is



withholding information, and comfortable with that awareness, may approach the patient material while listening for both indications of non-disclosed material and—critically—a growing awareness of psychopathology or other motivational forces driving non-disclosure. Written by experts in this area from both adult and child psychiatric specialties, this book is the first to address the issue of DNDD and present clinical pearls for addressing it. This text is a valuable resource for psychiatrists, psychologists, addiction medicine specialists, family physicians, and a wide array of clinicians treating patients who may struggle with disclosure and integrity.