Sunday, January 28, 2007

Transference is a term in psychiatry that basically means how you feel based upon how the person you are talking to feels. That is, picking up the 'vibes' from the person you are talking to. Freud originally explained this phenomena by saying the person is unconsciously channelling a past event or relationship towards this new interaction.

It's something that I've been told to pick up on, and I have during my term in psychiatry. My register mentor said that you could often diagnose someone based on your reaction after interviewing them. If you feel depressed after an interview, the person is probably depressed; if you feel racy and energetic, the person is manic; if you feel confused, the person is psychotic; if you feel annoyed, the person has borderline personality disorder. And although this seems very superficial- basing a diagnosis on how you feel- it works!

I've felt so low almost to the point of tears, after talking to a depressed patient.
I've felt confused, mystified (and somewhat cautious) when talking to a psychotic patient. (I asked him why he was in hospital, and he said, "Because I was going to kill John Howard. That's all. He greased my backside. Agents told him to...")

And although it's often stigmatised, mental illness is a biological illness. Well, mental illness is the combination of a biological fault, with an upbringing that doesn't teach you adequate coping strategies. And sometimes, genetic predisposition and life circumstance plays a part as well.

On a tangent, John and Josh drove to Adelaide from Sydney yesterday! And are enjoying the throbbing city life of this city. I'm much impressed- They drove from 5am to 9pm to make it here in a day. I took 2 days, and didn't want to drive for a week afterwards.

Sunday, January 14, 2007

New years resolution...
I usually don't have one, but this year is different.
I've been told that I've got to talk louder, so I'll endevour to crank up the volume.
I've been told that I should be less passive, so I'll try be more assertive and decisive.
I've been told myself that I should explore new things, so I'll try to leave my square.

Lets see how it goes!

Friday, January 05, 2007

First week back.
It's weird- I'm seeing people around the place, but not consistently. And i'm mostly hanging around a RMO(3rd year grad) who's teaching me the ropes of psychiatry.

I'm also paranoid that i'm losing my ability to communicate properly. My grammar and proper english structure is rapidly deteriorating. I wonder if that's because i'm trying to stuff information in and other - important- information is being deleted... much like hard drive memory.. When something needs to be saved, but the memory's full, something older must go instead.
It could be because I'm not as confident about my ability as i used to be.
Sometimes I feel like i'm full of self doubt that there's not much point in me being here.
Part of medicine in the facade of confidence.

I don't know.

But on the plus side- I have made it though third year medicine, and have just this year until i've completed my second degree. (And am in the workforce , not relying on John Howard and my parents to fund my life.)

In other news, Erica and John are engaged and are getting married in April!
And they have asked me to be their bridesmaid, along with John's sister and Susan. I'm very excited! She's the first of my friends to get married... Kinda makes me feel like i should get on with my life.. I'm envious that they've found each other and suit each other so perfectly. Certainly, I hope to find someone who complements me like they do. *Sigh* But I'm looking forward to the celebration and helping them celebrate this step in their relationship!!
Weddings are always such a happy occasion!