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Old Jul 03, 2008, 08:25 PM
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Simcha Simcha is offline
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Member Since: Jun 2008
Posts: 1,156
[b]Hi Soliaree!!

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your PDOC seems to be triggered when he perceives that your comments are questioning his authority. First, he should know (should) that he is not qualified to diagnose asthma. I wonder if the above incident was triggered by your mentioning that your T recommended a course of action, if your PDOC felt threatened that someone else was "telling him what to do".

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I believe you are absolutely correct!!!!! When I relayed what happened to my T, his first thought was that the PDOC was paternalistic, authoritarian, and seemed to only like patients who would subject themselves to the PDOC's mercy. His theory was that when PDOC was in training, they taught PDOCS to be authoritarian and paternalistic. My T told me that some other patient this week had a problem with him, and T reiterated he wasn't going to recommend this PDOC to anyone ever again.
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your PDOC seems to be triggered when he perceives that your comments are questioning his authority. First, he should know (should) that he is not qualified to diagnose asthma. I wonder if the above incident was triggered by your mentioning that your T recommended a course of action, if your PDOC felt threatened that someone else was "telling him what to do".

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I think so, Soliaree. I don't think the PDOC cares for psychologists either. No one else can POSSIBLY know as much, or more, than the Authoritative PDOC, right? Fragile ego.
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Your PDOC's insecurity is showing here. Again, maybe he felt threated by you mentioning your T? He asks you how do you know the stimulant isn't causing the panic attacks/anxiety. My question is how does he know that it is?

</div></font></blockquote><font class="post">Exactly!
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His answer further supports my suspicion that he is defensive when he perceives others as questioning him. My T frequently tells me not to idealize him, that he can and has been wrong at times. Your PDOC's response goes against this idea, which I believe is a cognitive distortion. Again, your PDOC *should* know this and should be aware of his subconscious motives, if that is the case here.

</div></font></blockquote><font class="post">The PDOC is acting out on a cognitive distortion. Even though I wasn't questioning him, his inability to listen to anyone once he has his mind made up further illustrates your points.
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I notice that in spite of all of the evidence that you question your perceptions/feelings/thoughts -- I totally indentify with you! I still don't have the ability to trust myself yet. I hope that will come with time. Know that my perceptions in regard to his behavior are exactly in line with yours. This was unprofessional and you didn't deserve this.
My explanations of a possible reason for his behavior are an attempt to make you feel validated and to let you know that his actions and what I perceived as being anger were not proportional to the situation. My perception of the situation is that this clearly was not you!

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Yes, your right that I don't entirely trust myself yet. There are specific reasons for that, and it's because of the specific situations that are the cause of my anxiety in the first place. I always seem to second guess, but part of that is because if I am the cause of something bad, I want to fix it. But, you along with my T and everyone else have solidified in my mind that it wasn't me that had the problem.
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I have no idea as to what to tell you about your course of action. Have you asked your T what he thinks?

</div></font></blockquote><font class="post"> I haven't discussed reporting the PDOC with him, although I did tell him that if I didn't have so much more going on it would be something I'd look into doing, but that is all I really said about that.
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I hope you are able to resolve this difficult unnerving situation. I wish you the best of luck - keep us posted. Take care.

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Thanks!
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--SIMCHA