Manipulative
patients?Identifying manipulative patients
- Applying guilt / transference
- Being anxious / chaotic
- Urgent important
- Threat of harm to patient
- A story that doesn't fit together
- Analgesic use
- Variable behaviour
- Dysinformation / non-information
Behavioural strategies that manipulative patients use
Strategies for tackling the issue
- Being proactive - preparation
- Listening
- Sticking to the agreed agenda
- Assertiveness
- Negotiation
- Creating a (written) contract
- Sharing responsibility
- Giving responsibility back
- Clear records and plan
- Adult-adult - feeding back behaviour
- Stop transference
- Non-judgmental
- Motivation cycle
- Explanation
- Active follow-up