Clinicians Quotes

Louise Brown's birth marked the end of the beginning of human IVF, acclaimed at the Royal College of Obstetricians and Gynaecologists. This event was snubbed by some clinicians now styled as 'pioneers', who shouted that the test-tube claim was a fake! They did not matter. ~ Robert Edwards

I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle. ~ Atul Gawande

If we could somehow end child abuse and neglect, the eight hundred pages of DSM (and the need for the easier explanations such as DSM-IV Made Easy: The Clinician's Guide to Diagnosis) would be shrunk to a pamphlet in two generations. ~ John Briere

Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions.
- Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5 ~ James A. Chu

Do You Have DID?

Determining if you have DID isn't as easy as it sounds. In fact, many clinicians and psychotherapists have such difficulty figuring out whether or not people have DID that it typically takes them several years to provide an accurate diagnosis. Because many of the symptoms of DID overlap with other psychological diagnoses, as well as normal occurrences such as forgetfulness or talking to yourself, there is a great deal of confusion in making the diagnosis of DID. Although this section will provide you with information which may help you determine if you have DID, it is a good idea to consult with a professional in the mental health field so that you can have further confirmation of your findings. ~ Karen Marshall

As the result of some observations I have made in recent years, I propose to add two new and previously undescribed varieties to the various forms of insanity with fixed ideas, whose underlying phenomenology is essentially phobic. The two new terms I would like to put forth, following the nomenclature currently accepted by leading clinicians, are dysmorphophobia and taphephobia.

The first condition consists of the sudden appearance and fixation in the consciousness of the idea of one's own deformity; the individual fears that he has become deformed (dysmorphos) or might become deformed, and experiences at this thought a feeling of an inexpressible disaster… The ideas of being ugly are not, in themselves, morbid; in fact, they occur to many people in perfect mental health, awakening however only the emotions normally felt when this possibility is contemplated.

But, when one of these ideas occupies someone's attention repeatedly on the same day, and aggressively and persistently returns to monopolise his attention, refusing to remit by any conscious effort; and when in particular the emotion accompanying it becomes one of fear, distress, anxiety, and anguish, compelling the individual to modify his behaviour and to act in a pre-determined and fixed way, then the psychological phenomena has gone beyond the bounds of normal, and may validly be considered to have entered the realm of psychopathology.

The dysmorphophobic, indeed, is a veritably unh ~ Enrico Agostino Morselli

The DID patient should be seen as a whole adult person with the identities sharing responsibility for daily life. Despite patients' subjective experience of separateness, clinicians must keep in mind that the patient is a single person and generally must hold the whole person (i.e., system of alternate identities) responsible for the behavior of any or all of the constituent identities, even in the presence of amnesia or the sense of lack of control or agency over behavior.
From p8
International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision: Summary version. Journal of Trauma & Dissociation, 12, 188–212. ~ James A. Chu

The great success stories of chemotherapy were always in relatively obscure types of cancer. Childhood leukemia constitutes less than two percent of all cancers and many of chemotherapy's other successes were in diseases so rare that many clinicians had never even seen a single case ~ Ralph W. Moss

Wonderful!Hold Me Tight blends the best in research findings with practical suggestions from a caring and compassionate clinician. This fabulous book will be of great benefitto couples trying to find their way to better communication and deeper, more fulfilling ways of being with each other. Bravo! ~ Daniel J. Siegel

If insulin fattens those who receive it, as the evidence suggests, then how does it work? The prewar European clinicians who used insulin therapy to treat anorexics accepted the possibility, as Falta suggested, that the hormone can directly increase the accumulation of fat in the fat tissues. Insulin was "an excellent fattening substance," Erich Grafe wrote in Metabolic Diseases and Their Treatment. ~ Gary Taubes

Thanks to the ongoing support of the Government of Ontario, RHF, in partnership with the Ontario Neurotrauma Foundation, has galvanized Ontario's best researchers, clinicians and scientists to accelerate the translation of the most promising research into practical solutions. This commitment enables the ongoing leveraging of federal, provincial and private sector funds to allow Canadian SCI researchers to embark on a national and global collective journey towards making a difference in the lives of people with spinal cord injury and other disabilities. ~ Rick Hansen

This extreme treatment was among the proliferating regimens developed in response to the stunning increase in nervous disorders diagnosed around the turn of the century. Commentators and clinicians cited a number of factors related to the stresses of modern civilization: the increased speed of communication facilitated by the telegraph and railroad; the "unmelodious" clamor of city life replacing the "rhythmical" sounds of nature; and the rise of the tabloid press that exploded "local horrors" into national news. These nervous diseases became an epidemic among "the ultracompetitive businessman and the socially active woman. ~ Doris Kearns Goodwin

There is, however, a skill to it, a developed body of professional expertise. One may not be able to fix such problems, but one can manage them. And until I visited my hospital's geriatrics clinic and saw the work that the clinicians there do, I did not fully grasp the nature of the expertise involved, or how important it could be for all of us. ~ Atul Gawande

Addiction is a term that's used a lot these days. People claim to be addicted to everything from romance novels to cars. They feel guilty when they enjoy something just a little too much. When it comes to food addiction, the misunderstanding is epidemic...

Until now, scientists and clinicians alike have been reluctant to acknowledge that food addiction even exists. Yes, abnormal eating behaviours have been identified throughout history, but there has long been a resistance to labelling it an addiction. ~ Vera Tarman

I'd always wondered why there had been no mention of psychopaths in the DSM. It turned out, Spitzer told me, that there had indeed been a backstage schism - between Bob Hare and a sociologist named Lee Robins. She believed clinicians couldn't reliably measure personality traits like empathy. She proposed dropping them from the DSM checklist and going only for overt symptoms. Bob vehemently disagreed, the DSM committee sided with Lee Robins, and Psychopathy was abandoned for Antisocial Personality Disorder. ~ Jon Ronson

To have a group of cloistered clinicians away completely from the broad current of professional life would be bad for teacher and worse for student. The primary work of a professor of medicine in a medical school is in the wards, teaching his pupils how to deal with patients and their diseases. ~ William Osler

Too often, hospital staff are incented by management to get work done without worrying about care, and clinicians are too often not even trained to think about care. ~ Dave DeBronkart

Entrepreneurs and innovators across the country are developing and deploying new data-powered IT tools to help clinicians succeed at delivering better care at lower cost. ~ Todd Park

the line between what clinicians can do well and what they cannot do at all well is not obvious, and certainly not obvious to them. ~ Daniel Kahneman

Though I did not write about neurofeedback in detail, I trained in it, and learned an immense amount about changing the brain from these neurofeedback scientists and clinicians, in supervision, in courses or through their writings: John Finnick, Moshe Perl, Sebern Fisher, Ed Hamlin, Lynda Thompson, Michael Thompson, Len Ochs, and Jaclyn Gisburne. ~ Norman Doidge

But now the problem we face is ineptitude, or maybe it's "eptitude" - making sure we apply the knowledge we have consistently and correctly. Just making the right treatment choice among the many options for a heart attack patient can be difficult, even for expert clinicians. ~ Atul Gawande

Somehow the disorder hooks into all kinds of fears and insecurities in many clinicians. The flamboyance of the multiple, her intelligence and ability to conceptualize the disorder, coupled with suicidal impulses of various orders of seriousness, all seem to mask for many therapists the underlying pain, dependency, and need that are very much part of the process. In many ways, a professional dealing with a multiple in crisis is in the same position as a parent dealing with a two-year-old or with an adolescent's acting-out behavior. (236) ~ Lynn I. Wilson

Milton Erickson was a master at using experiential techniques to elicit strengths that were previously dormant. Mills and Crowley have masterfully captured essential elements of Erickson's work and applied it to therapy with children. Easy to read, meticulously referenced, and filled with inspiring case studies, Therapeutic Metaphors for Children and the Child Within has now been updated with important new findings, and it's essential reading for clinicians who work with children as well as for those who want to improve their use of therapeutic metaphor. ~ Jeffrey K. Zeig

Whatever proponents of false memory syndrome may claim and however persuasively they tell their stories and anecdotes, dissociative amnesia typically involves fragmented recall of trauma and is rather a retrieval inhibition than a forgetting (Spiegel et al., 2011). It may also involve complete loss of recall for sexual and physical abuse but most commonly, dissociative amnesia is partial, variable, and coexists with memories of trauma (Dalenberg et al., 2014). Studies addressing the accuracy of recovered abuse memories show that these memories are no less accurate than continuous memories for abuse (Scheflin & Brown, 1996). Memory is reconsolidated each time it is accessed and therefore potentially distorted (Bridge & Paller, 2012).
Evidently, this does not disprove the possibility that some clinicians are too suggestive, one way or another, pushing their patients to adopt views that serve to confirm the therapist's own perspective and beliefs. ~ Jenny Ann Ryberg

At the same time, it is obvious that clinicians in Haiti are faced with different, and, in fact, greater, challenges when attempting to treat complications of HIV disease. ~ Paul Farmer

Should you operate upon your clients as objects, you risk reducing them to less than human. Following the culture of appropriation and mastery your clients become a kind of extension of yourself, of your ego. In the appropriation and objectification mode, your clients' well-being and success in treatment reflect well upon you. You "did" something to them, you made them well. You acted upon them and can take the credit for successful therapy or treatment. Conversely, if your clients flounder or regress, that reflects poorly on you. On this side of things the culture of appropriation and mastery says that you are not doing enough. You are not exerting enough influence, technique or therapeutic force. What anxiety this can breed for some clinicians!



DBT offers a framework and tools for a treatment that allows clients to retain their full humanity. Through the practice of mindfulness, you can learn to cultivate a fuller presence to the moments of your life, and even with your clients and your work with them. This presence potentiates an encounter between two irreducible human beings, meeting professionally, of course, and meeting humanly. The dialectical framework, which embraces contradictions and gives you a way of seeing that life is pregnant with creative tensions, allows for your discovery of your limits and possibilities, gives you a way of seeing the dynamic nature of reality that is anything but sitting still; shows you that your identity grows fr ~ Scott E. Spradlin

While someday the computerization of medicine will surely be that long-awaited "disruptive innovation," today it's often just plain disruptive: of the doctor-patient relationship, of clinicians' professional interactions and work flow, and of the way we measure and try to improve things. I ~ Robert Wachter

Most mental health professionals, including clinicians and researchers, endorse the deficit theory. They're convinced that we wage war simply because we don't know how to make love. We desperately want loving, satisfying relationships but lack the skills we need to develop them. ~ David D. Burns

I think the gold standard is a clinical diagnosis, that an astute clinician interacting with a child, interviewing the parents, talking with teachers makes the diagnosis based on some standard tests and also on clinical impression and skill. ~ Gerald Fischbach

Because of media portrayals, clinicians may believe that dissociative identity disorder presents with dramatic, florid alternate identities with obvious state transitions (switching). These florid presentations occur in only about 5% of patients with dissociative identity disorder.(20) How ever, the vast majority of these patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as post-traumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.(2,10) ~ Bethany L. Brand

The first reason for psychology's failure to understand what people are and how they act, is that clinicians and psychiatrists, who are generally the theoreticians on these matters, have essentially made up myths without any evidence to support them; the second reason for psychology's failure is that personality theory has looked for inner traits when it should have been looking for social context. ~ Naomi Weisstein

As stated in the opening paragraph, be excited! You are about to embark on an incredible journey that provides extraordinary opportunities and offers valuable rewards. The journey to become a physical therapist often is not easy, and it will not come without roadblocks and detours. The challenges do not end once you have graduated; they simply change. However, as many seasoned clinicians can attest, these challenges pale in comparison to the reward of knowing how many patients' lives you have profoundly impacted. The unexpected gift is how profoundly they will impact yours. ~ Stacie J. Fruth

The categories used in psychiatric diagnosis are based on observation of signs and symptoms, rather than on pathological processes. One can make use of a few signs, such as facial expressions associated with depression or the flight of ideas associated with mania. But what clinicians mainly use for diagnosis are symptoms, the subject experiences reported by patients. Psychiatrists have little knowledge of the processes that lie behind these phenomena. Thus psychiatric diagnoses, with very few exceptions, are syndromes, not diseases. ~ Joel Paris

Getting lab results to child clinicians faster compliments our Action Plan for Health Care by helping more patients get the right care, at the right time. It's quite the achievement when over two million children across Ontario will experience better and more coordinated care thanks to the work being done by SickKids and eHealth Ontario. ~ Deb Matthews

The main reason why clinicians may not diagnose personality disorders is that they think that doing so supports therapeutic pessimism. Recent research has shown this is not true; most patients get better, either with time or with treatment, that the prognosis is actually better than in many patients with severe mood and anxiety disorders. ~ Joel Paris

What makes this shift all the more perplexing is that it occurred immediately after the science of fat metabolism evolved to explain why carbohydrates were uniquely fattening, and it followed a six-year period in which carbohydrate-restricted diets achieved unprecedented credibility among clinicians. ~ Gary Taubes

n sum, let us enter a plea for clinical clinicians who can distinguish unconscious depression from conscious despair, paranoia from adaptive wariness, and who can tell the difference between a sick man and a sick nation. ~ William H. Grier

I never had the ambition to do what clinicians call "integrate". Many clinicians think that until your mind comes into one piece, then you have not healed. But I don't care that much about what the experts say. ~ Wendy Hoffman

clinical literature is virtually unanimous that full MPD [Multiple Personality Disorder] cannot be created iatrogenically. There is no evidence that such a case has been demonstrated; clinicians of widely different orientations have studied the available information and arrived at similar conclusions (e.g., Braun, 1984; Gruenewald, 1984; Kernberg, in press; Kluft, 1982; Putnam, 1989). Nonetheless, most of these observers have noted that many of the phenomena of MPD can be created quite readily, and that phenomena with striking superficial resemblance to MPD can be generated with relatively little effort. In fact, I noted in passing (Kluft, 1986a) that I had replicated the interventions of Harriman (1942,1943), Leavitt (1947), and Kampman (1976), and found the resultant phenomena clearly distinguishable from clinical MPD.
(from Kluft, R. P. (1989). Dissociation: Vol. 2, No. 2, p. 083-091: Iatrongenic creation of new alter personalities) ~ Richard P. Kluft

Every penny paid to a PFI company is money withdrawn from those waiting for an operation, money removed from the training of clinicians, and money denied for life-saving treatments. ~ Jeremy Corbyn