What makes a difficult patient so difficult? Examining the therapist's experience beyond patient characteristics

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dc.catalogadoraba
dc.contributor.authorFischer Perlman, Candice
dc.contributor.authorCottin, Marianne
dc.contributor.authorBehn Berliner, Alex Joseph
dc.contributor.authorErrazuriz Arellano, Paula
dc.contributor.authorDíaz, Rubén
dc.date.accessioned2023-10-02T14:20:04Z
dc.date.available2023-10-02T14:20:04Z
dc.date.issued2019
dc.description.abstractThe primary aim of this study is to improve our understanding of therapists' experience of a "difficult patient" and consider the different variables involved in this label. What makes a patient be perceived as difficult by a therapist in public health services? Results of our analysis of 10 qualitative semistructured interviews of therapists working in public health service in Chile indicated that therapists' perceptions of a "difficult patient" depend on variables that go beyond the patient's intrinsic characteristics, including patients' negative attitude toward the therapist and treating team, patients' negative effects on therapists, and a difficult treatment context (e.g., work overload, scarce resources, limited number, and frequency of sessions). We illustrate the interaction of these dimensions and focus on the impact of the treating context on therapists' experience of a "difficult patient" through the case of a therapist working with a patient with complex depression in the public health system of Chile.
dc.description.funderVRAID (ex DIPUC)
dc.fechaingreso.objetodigital2023-10-02
dc.fuente.origenHistorial Académico
dc.identifier.doi10.1002/jclp.22765
dc.identifier.issn0021-9762
dc.identifier.urihttps://doi.org/10.1002/jclp.22765
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74820
dc.identifier.wosidWOS:000464957400008
dc.information.autorucEscuela de Psicología; Fischer Perlman, Candice; S/I; 1295
dc.information.autorucEscuela de Psicología; Behn Berliner, Alex Joseph; 0000-0003-2070-7866; 243036
dc.information.autorucEscuela de Psicología; Errazuriz Arellano, Paula; 0000 0003 4890 7050; 2232
dc.issue.numero5
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final911
dc.pagina.inicio898
dc.revistaJournal of Clinical Psychology
dc.rightsacceso restringido
dc.subjectComplex depression
dc.subjectDepression
dc.subjectDifficult patients
dc.subjectPersonality dysfunction
dc.subject.ddc150
dc.subject.deweyPsicologíaes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleWhat makes a difficult patient so difficult? Examining the therapist's experience beyond patient characteristics
dc.typeartículo
dc.volumen75
sipa.codpersvinculados1295
sipa.codpersvinculados243036
sipa.codpersvinculados2232
sipa.indexWoS
sipa.indexScopus
sipa.trazabilidadHistorial Académico;09-07-2021
sipa.trazabilidadORCID;2023-09-25
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