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Some patients who are profoundly multiply disabled are…

“Some patients who are profoundly multiply disabled are incontinent, smear faeces, cut themselves, dribble, smell, spit, bite, eat mucous, pull their hair, poke their eyes and are hard to understand. Shock at feeling a primitive response of disgust can make the therapist unable to think properly…” quote by Ved P. Varma
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““Some patients who are profoundly multiply disabled are incontinent, smear faeces, cut themselves, dribble, smell, spit, bite, eat mucous, pull their hair, poke their eyes and are hard to understand. Shock at feeling a primitive response of disgust can make the therapist unable to think properly. (...) Sexually abused children and adults who display eroticised behaviour in the therapy room—stripping, exposing themselves, masturbating—can also cause stress for the therapist, especially on the first such occasion.””

Ved P. Varma

About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

Therapists face intense disgust and stress when confronting extreme, self‑injurious or sexual behaviors in severely disabled patients.

In simple terms: Therapists can be overwhelmed by shocking client actions.

Key Takeaway

Develop coping strategies for therapist well‑being.

Themes

ethics mental health trauma professional boundaries stress management

Mood

anxious empathetic

Type

clinical educational

When to use this quote

  • emergency response
  • therapy training
  • self‑care protocols
  • risk assessment

Key Concepts

clinical practice emotional regulation patient‑therapist dynamics

Questions to Reflect On

  • How can clinicians maintain objectivity?
  • What support systems reduce therapist burnout?
A Different Perspective

Therapist bias may impair objective care.

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