Clinician Quotes & Sayings

Such is the demographic paradox of a junior physician's relationship with his patients: I worry about how to extend their lives. This anxiety inevitably shortens my own. — Jacob M. Appel

The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that "only 6% make their DID obvious on an ongoing basis" (p. 600).
- Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5 — James A. Chu

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

I emphasize this because some of my colleagues, for whose academic attainments I have great respect, argue 'You assume too much; this is not proved; this is not strictly scientific. We disagree with your neurology and your psychiatry is misleading, therefore you must be wrong.' My reply has been, with all humility: 'Yes, of course,' and I have returned to the labor ward to be greeted by happy women with their newborn babies in their arms: 'How right you are, Doctor, it is so much easier that way.' That is what really matters to the clinician. He should use the method that gives the best and safest result from all points of view until something better is discovered. — Grantly Dick-Read

However, if you do not believe your clients, they may sense your doubt and never fully trust you. As Bruce Goderez (1986), director of a PTSD inpatient unit says, "It is important for the clinician and counselor to be willing to be made a fool." In other words, it is better that you believe a client who is lying or distorting the truth than to disbelieve a hurting trauma survivor who may never seek help again if your attitude is one of disbelief or disdain. Even if that client were to continue in therapy, they would never fully trust you. — Aphrodite Matsakis

a famous 1925 lecture given by Professor Francis Peabody to the Harvard medical student body: The good physician knows his patients through and through, and his knowledge is bought dearly. Time, sympathy, and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine. One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient. — Robert Wachter

As a clinician, I unapologetically believe that we must no longer identify our patients/clients with the addiction. While they may struggle with an addiction, the addiction itself is no different than any other form of medical ailment and disease. — Asa Don Brown

The modern concept of the unconscious, based on such studies and measurements, is often called the "new unconscious," to distinguish it from the idea of the unconscious that was popularized by a neurologist-turned-clinician named Sigmund Freud. — Leonard Mlodinow

I will be the clinician of my own pathology. — Joyce Carol Oates

I'm a traditional Jew with an orthodox background, and it informs much of my approach to science. Of course I think it's very important that if you have those sorts of backgrounds you don't impose them on other people as a clinician, of course. — Robert Winston

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

I'm an e-patient: equipped, enabled, empowered, engaged. I'm no clinician, but I do everything in my power to help them, to play an active role in my own care, and even in the design of care. — Dave DeBronkart

Above all, the clinician must not shake what little faith the patient has in himself. — Leston Havens

The ACE study group concluded: "Although widely understood to be harmful to health, each adaptation [such as smoking, drinking, drugs, obesity] is notably difficult to give up. Little consideration is given to the possibility that many long-term health risks might also be personally beneficial in the short term. We repeatedly hear from patients of the benefits of these 'health risks.' The idea of the problem being a solution, while understandably disturbing to many, is certainly in keeping with the fact that opposing forces routinely coexist in biological systems. . . . What one sees, the presenting problem, is often only the marker for the real problem, which lies buried in time, concealed by patient shame, secrecy and sometimes amnesia - and frequently clinician discomfort. — Bessel A. Van Der Kolk

Anna Freud's book The Ego and Mechanisms of Defense (1936) was a partial response to this problem. It became a psychoanalytic field marshal's handbook, documenting and illustrating various unconscious defensive strategies of the ego, alerting the clinician to telltale signs of their operation in the patient's psyche. Reorienting — Stephen A. Mitchell

We want to be known for having original ideas, inspired hunches, and gut feelings that make a difference. Indeed, a "well-honed sixth sense"' is considered a measure of the good clinician. But being a good doctor also requires sticking with the best medical evidence, even if it contradicts your personal experience. We need to distinguish between gut feeling and testable knowledge, between hunches and empirically tested evidence. — Robert A. Burton

Suppose it was demonstrated that one out of twenty alcoholics could learn to become a moderate social drinker. The experienced clinician would answer, 'Even if true, act as if it were false, for you will never identify that one in twenty, and in the attempt five in twenty will be ruined.' Investors should forsake the search for such tiny needles in huge haystacks. — Paul Samuelson

The clinician, no matter how venerable, must accept the fact that experience, voluminous as it might be, cannot be employed as a sensitive indicator of scientific validity, — Siddhartha Mukherjee

61% of physicians felt their EHR improved the quality of care they delivered to patients, but only 1 in 3 said it had improved their job satisfaction, and 1 in 5 said they would go back to paper if they could.

Tellingly, the more advanced the EHR; for example, systems that offered reminders, alerts, and messaging capability, the greater the unhappiness. — Robert Wachter

it is this integration between the worlds of the patient and the clinician that carries the most promise. — Robert Wachter

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 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

Having worked as a clinician for almost 40 years, I have seen some young adults, who had the classic, clear and conspicuous signs of Asperger's syndrome in early childhood, achieve over decades a range of social abilities and improvements in behaviour such that the diagnostic characteristics became sub-clinical; that is, the person no longer has a clinically significant impairment in social, occupational, or other important area of functioning. There may still be very subtle signs of Asperger's syndrome, but when the diagnostic tests are re-administered, the person achieves a score below the threshold to maintain the diagnosis. There is now longitudinal research that is starting to confirm clinical experience that about 10 per cent of those who originally had an accurate diagnosis of Asperger's syndrome in childhood no longer have sufficient impairments to justify the diagnosis (Cederlund et al. 2008; Farley et al. 2009). — Tony Attwood

If the clinician, as observer, wishes to see things as they really are, he must make a tabula rasa of his mind and proceed without any preconceived notions whatever. — Jean-Martin Charcot

The first goal is for the clinician to find the patient, and the patient to find the clinician, as both are required for a real alliance. — Leston Havens

Continuation of the outbreak depended on the likelihood of encounters between people who were infectious and people who could be infected. This idea became known as the "mass action principle." It was all about math. The same year, 1906, a Scottish physician named John Brownlee proposed an alternate view, contrary to Hamer's. Brownlee worked as a clinician and hospital administrator — David Quammen