Awww, isn’t it cute? Psychiatrists have found a new word, and are all abuzz with the possibilities. What’s all this about mutuality? Let’s have a look:
Collaborating with patients, John R. Elpers, MD, professor emeritus of clinical psychiatry and behavioral sciences at UCLA, and Gary Sachs, MD, director of the Bipolar Clinic and Research Program at Massachusetts General Hospital in Boston:
“We’ve learned from our [patients] they do best when we let them take charge of themselves,” Dr. Elpers says. “Medications are helpful but only helpful when the client understands how to take them. We need to teach patients how to manage symptoms, give them the freedom to adjust them. In this way the physician becomes a consultant for the patient.” (my bold).
And many physicians are moving beyond “compliance” to “concordance” or “aiming for agreement,” Dr. Sachs says. “We are mapping out together, asking patients, ‘How do we get here?’ The key is to formulate a menu of choices for the patient and then negotiate.”
But sometimes there’s a disconnect, and what physicians are saying isn’t what patients are hearing.
One has to ask if what patients are saying is quite what physicians are hearing, but one is not necessarily convinced patients say much of anything substantive in these transactions to begin with, beyond the general shucking and yessah, I will, whatever you say sir. And then do what we do with our pills and both doc and pt. know it’s a sham and to participate knowingly in a sham is insane. Nice set-up beyotches.
It’s like this: What is is. Except when I go to the psychiatrist’s office, where I leave the reality based world behind and act out teh charade, but only when entering the domain I must enter because my reality-testing has been found lacking. A disconnect you say? Pshaw!
No more nonsense about compliance and non-compliance. This is straight from the horse’s
ass mouth. Concordance: arrow meet quiver.