Manipulative patients 2

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
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