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i see it most online, because i don't have the opportunity to know many therapy clients and their stories IRL. i see people actively keeping themselves sick... i had trouble grasping it, but i'm sure we've all seen it and most of us have done it even in some small way. Think hard about it... ever said you felt terrible when asked, even if things weren't as bad as they have been? i've seen people openly talking about how they won't talk to their therapist or are doing X,Y or Z in the hospital to circumvent what they are being told to do. i'm not referring to trust issues with a therapist, it takes time to be able to be open and share... i am referring to people who are perfectly able to say what they need to but are choosing not to because they are deliberately opposing the therapist. That one hit me like a 2x4 in the face... i didn't get it at first. What could possibly justify that? Attention. If someone opens up, moves forward and gets better... maybe the T won't care, maybe no one will listen, maybe no one will care again.
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My first reaction was how cynical. My second reaction was how do snippets of anecdotal evidence support the premise? To postulate it is the regular practice of many to sabotage their recovery so others will continue to cater to their need for attention is profoundly skeptical. Frankly, I am reminded of the innumerable times I have been told to get over it and move on.
That said, I am not so naive as to think the hypothesis has no merit. A question I have talked about before is at what point is someone healed or deemed to have recovered? The manifestations of the illness may no longer be present but is the person capable of assuming sole responsibility for his/her own well-being?
When I am having difficulties, I go back to this article from the Mayo Clinic Depression blog:
http://www.mayoclinic.com/health/dep...atment/MY00751 I try to be very objective when reviewing the questions. Can I do better? Yes. The reason I am not always in 100% compliance, however, is not because I seek attention.
In my case, I have been told I have a personality not conducive to therapy and the medications I take may have no greater efficacy than a placebo. My psychiatrist agrees that my level of functioning is my sole responsibility, as it should be.
While I find much to disagree with, I thank you, little*rhino, for your post.