--- title: "Meaning & Key Takeaway of: Some patients who are profoundly multiply…" description: "\"“Some patients who are profoundly multiply disabled are incontinent, smear faeces, cut themselves, dribble, smell, spit, bite, eat mucous, pull their h..." image: "https://sms4smile.com/quotes/i/d28/ved-p-varma-47047_mental-health_some-patients-who-are-profoundly-multipl_339995.jpg" --- # 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](https://sms4smile.com/quotes/i/d28/ved-p-varma-47047_mental-health_some-patients-who-are-profoundly-multipl_339995.jpg) [Download](https://sms4smile.com/quotes/i/d28/ved-p-varma-47047_mental-health_some-patients-who-are-profoundly-multipl_339995.jpg) [Open image](https://sms4smile.com/quotes/i/d28/ved-p-varma-47047_mental-health_some-patients-who-are-profoundly-multipl_339995.jpg) > ““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](https://sms4smile.com/quotes/author/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. ★ ★ ★ ★ ★ No ratings yet [Disabled Incontinent](https://sms4smile.com/quotes/about/disabled-incontinent-3162986/) [Disgust](https://sms4smile.com/quotes/about/disgust/) [Mental health](https://sms4smile.com/quotes/about/mental-health/) [Patience](https://sms4smile.com/quotes/about/patience/) [Therapist](https://sms4smile.com/quotes/about/therapist/) [Therapist Especially](https://sms4smile.com/quotes/about/therapist-especially-3162987/) [Therapist Unable](https://sms4smile.com/quotes/about/therapist-unable-3162985/) ## Related quotes > [“I would like to turn in my skin and change it for a new epidermis. It feels as if I will never be able…](https://sms4smile.com/quotes/holly-a-smith/i-would-like-to-turn-in-my-skin-and-change-it-for-a-new-epidermis-it/) [Holly A. Smith](https://sms4smile.com/quotes/author/holly-a-smith/) > [“Every therapist will, over the course of his career, encounter a patient whose problem sufficiently mirrors a difficulty for the therapist which is still…](https://sms4smile.com/quotes/ved-p-varma/every-therapist-will-over-the-course-of-his-career-encounter-a/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [If a therapist is feeling insecure in therapy, a lot of therapists will try to sort of push that aside to try to do…](https://sms4smile.com/quotes/steven-c-hayes/if-a-therapist-is-feeling-insecure-in-therapy-a-lot-of-therapists/) [Steven C. Hayes](https://sms4smile.com/quotes/author/steven-c-hayes/) > [It’s therapy. It’s just something to do so you’re not lost in your own not-so-nice thoughts, and it’s an opportunity to think about something…](https://sms4smile.com/quotes/kai-greene/it-s-therapy-it-s-just-something-to-do-so-you-re-not-lost-in-your-own/) [Kai Greene](https://sms4smile.com/quotes/author/kai-greene/) > [I see therapy as a substitute for friendship. I see it as a commentary on the impersonality of society that people have to pay…](https://sms4smile.com/quotes/jon-winokur/i-see-therapy-as-a-substitute-for-friendship-i-see-it-as-a-commentary/) [Jon Winokur](https://sms4smile.com/quotes/author/jon-winokur/) > [“People who need regulation often leave therapy sessions feeling calmer, stronger, safer, more able to handle the world. Often they don't know why. Nothing…](https://sms4smile.com/quotes/thomas-lewis/people-who-need-regulation-often-leave-therapy-sessions-feeling/) [Thomas Lewis](https://sms4smile.com/quotes/author/thomas-lewis/) > [Therapy shouldn't be taboo, if it's going to clear your head.](https://sms4smile.com/quotes/mandira-bedi/therapy-shouldn-t-be-taboo-if-it-s-going-to-clear-your-head/) [Mandira Bedi](https://sms4smile.com/quotes/author/mandira-bedi/) > [“Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly…](https://sms4smile.com/quotes/irvin-d-yalom/indeed-the-capacity-to-tolerate-uncertainty-is-a-prerequisite-for-the/) [Irvin D. Yalom](https://sms4smile.com/quotes/author/irvin-d-yalom/) > [“Most psychotherapies are designed to patch up wounded people and then throw them back into the battle of oppositions. They guide people in how…](https://sms4smile.com/quotes/robert-a-johnson/most-psychotherapies-are-designed-to-patch-up-wounded-people-and-then/) [Robert A. Johnson](https://sms4smile.com/quotes/author/robert-a-johnson/) > [Therapists need to have a long experience in personal therapy to see what it's like to be on the other side of the couch…](https://sms4smile.com/quotes/irvin-d-yalom/therapists-need-to-have-a-long-experience-in-personal-therapy-to-see/) [Irvin D. Yalom](https://sms4smile.com/quotes/author/irvin-d-yalom/) > [Good God, man, what is that smell?" He eyed with disgust the doctor's filthy cloak. "Life," answered the doctor.](https://sms4smile.com/quotes/rick-yancey/good-god-man-what-is-that-smell-he-eyed-with-disgust-the-doctor-s/) [Rick Yancey](https://sms4smile.com/quotes/author/rick-yancey/) > [Unless an entire row of people got up in the middle of a performance and left the theater in disgust, I felt as though…](https://sms4smile.com/quotes/jeremy-piven/unless-an-entire-row-of-people-got-up-in-the-middle-of-a-performance/) [Jeremy Piven](https://sms4smile.com/quotes/author/jeremy-piven/) > [“in my afterword, which discusses the ugliest of all ugly feelings: disgust. As”](https://sms4smile.com/quotes/sianne-ngai/in-my-afterword-which-discusses-the-ugliest-of-all-ugly-feelings/) [Sianne Ngai](https://sms4smile.com/quotes/author/sianne-ngai/) > [“but now that I had finished, the beauty of the dream vanished, and breathless horror and disgust filled my heart”](https://sms4smile.com/quotes/mary-shelley/but-now-that-i-had-finished-the-beauty-of-the-dream-vanished-and/) [Mary Shelley](https://sms4smile.com/quotes/author/mary-shelley/) > [“Joe!” he groaned, attempting to speak clearly. “Joe! Good ol’ Joe!” “Captain, you’re drunk!” Lofflin said, stating the obvious while trying to keep his…](https://sms4smile.com/quotes/christina-engela/joe-he-groaned-attempting-to-speak-clearly-joe-good-ol-joe-captain/) [Christina Engela](https://sms4smile.com/quotes/author/christina-engela/) ## More by Ved P. Varma > [“Winnicott talks about how ‘mothers do in one way or another identify themselves with the baby growing within them, and in this way they…](https://sms4smile.com/quotes/ved-p-varma/winnicott-talks-about-how-mothers-do-in-one-way-or-another-identify/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“Although there are areas of overlap between working with psychotic and borderline children and with severely deprived children, some of the stresses involved are…](https://sms4smile.com/quotes/ved-p-varma/although-there-are-areas-of-overlap-between-working-with-psychotic/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“Hearing directly from a person who has been hurt in a profound way gives the listener a secondary trauma. When a Swedish colleague, Anders…](https://sms4smile.com/quotes/ved-p-varma/hearing-directly-from-a-person-who-has-been-hurt-in-a-profound-way/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“Every therapist will, over the course of his career, encounter a patient whose problem sufficiently mirrors a difficulty for the therapist which is still…](https://sms4smile.com/quotes/ved-p-varma/every-therapist-will-over-the-course-of-his-career-encounter-a/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“He came to believe that, in addition to getting rid of parts of the self, projective identification was sometimes the only way in which…](https://sms4smile.com/quotes/ved-p-varma/he-came-to-believe-that-in-addition-to-getting-rid-of-parts-of-the/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“If, for example, it is the weak, defenceless, vulnerable part of the self which cannot be tolerated, than this will tend to be split…](https://sms4smile.com/quotes/ved-p-varma/if-for-example-it-is-the-weak-defenceless-vulnerable-part-of-the-self/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) > [“They behave towards their therapists as they perceive themselves to have been treated by their absent parents. They make their therapists feel very fully…](https://sms4smile.com/quotes/ved-p-varma/they-behave-towards-their-therapists-as-they-perceive-themselves-to/) [Ved P. Varma](https://sms4smile.com/quotes/author/ved-p-varma/) [Explore all 8 Ved P. Varma quotes ](https://sms4smile.com/quotes/author/ved-p-varma/) ## More Disgust quotes > [“Joe!” he groaned, attempting to speak clearly. “Joe! Good ol’ Joe!” “Captain, you’re drunk!” Lofflin said, stating the obvious while trying to keep his…](https://sms4smile.com/quotes/christina-engela/joe-he-groaned-attempting-to-speak-clearly-joe-good-ol-joe-captain/) [Christina Engela](https://sms4smile.com/quotes/author/christina-engela/) > [“but now that I had finished, the beauty of the dream vanished, and breathless horror and disgust filled my heart”](https://sms4smile.com/quotes/mary-shelley/but-now-that-i-had-finished-the-beauty-of-the-dream-vanished-and/) [Mary Shelley](https://sms4smile.com/quotes/author/mary-shelley/) > [“in my afterword, which discusses the ugliest of all ugly feelings: disgust. As”](https://sms4smile.com/quotes/sianne-ngai/in-my-afterword-which-discusses-the-ugliest-of-all-ugly-feelings/) [Sianne Ngai](https://sms4smile.com/quotes/author/sianne-ngai/) > [Unless an entire row of people got up in the middle of a performance and left the theater in disgust, I felt as though…](https://sms4smile.com/quotes/jeremy-piven/unless-an-entire-row-of-people-got-up-in-the-middle-of-a-performance/) [Jeremy Piven](https://sms4smile.com/quotes/author/jeremy-piven/) > [Good God, man, what is that smell?" He eyed with disgust the doctor's filthy cloak. "Life," answered the doctor.](https://sms4smile.com/quotes/rick-yancey/good-god-man-what-is-that-smell-he-eyed-with-disgust-the-doctor-s/) [Rick Yancey](https://sms4smile.com/quotes/author/rick-yancey/) > [Of all facial expressions, which is the worst to have aimed at you? Wouldn't you agree it's disgust?](https://sms4smile.com/quotes/leif-enger/of-all-facial-expressions-which-is-the-worst-to-have-aimed-at-you/) [Leif Enger](https://sms4smile.com/quotes/author/leif-enger/) > [“He has the look of someone whose soul got up and walked away in disgust a long time ago.”](https://sms4smile.com/quotes/jess-kidd/he-has-the-look-of-someone-whose-soul-got-up-and-walked-away-in/) [Jess Kidd](https://sms4smile.com/quotes/author/jess-kidd/) > [Love turns, with a little indulgence, to indifference or disgust; hatred alone is immortal.](https://sms4smile.com/quotes/william-hazlitt/love-turns-with-a-little-indulgence-to-indifference-or-disgust-hatred/) [William Hazlitt](https://sms4smile.com/quotes/author/william-hazlitt/) > [He made a sound of disgust in the back of his throat. "Oh thank you so much. That's what every man wants to hear…](https://sms4smile.com/quotes/sherrilyn-kenyon/he-made-a-sound-of-disgust-in-the-back-of-his-throat-oh-thank-you-so/) [Sherrilyn Kenyon](https://sms4smile.com/quotes/author/sherrilyn-kenyon/) > [The reason that last-ditch political maneuvering has become business as usual in Washington is that the actors involved are drunk on blame and are…](https://sms4smile.com/quotes/walter-kirn/the-reason-that-last-ditch-political-maneuvering-has-become-business/) [Walter Kirn](https://sms4smile.com/quotes/author/walter-kirn/) > [“His excuse made the corners of my mouth turn up. “You think I’m beautiful?” He frowned with disgust. “You’re gorgeous and you know it.…](https://sms4smile.com/quotes/jamie-mcguire/his-excuse-made-the-corners-of-my-mouth-turn-up-you-think-i-m/) [Jamie McGuire](https://sms4smile.com/quotes/author/jamie-mcguire/) > [“I don't like animals. It's a strange thing, I don't like men and I don't like animals. As for God, he is beginning to…](https://sms4smile.com/quotes/samuel-beckett/i-don-t-like-animals-it-s-a-strange-thing-i-don-t-like-men-and-i-don/) [Samuel Beckett](https://sms4smile.com/quotes/author/samuel-beckett/) > [“Because of the size of this body, I must concentrate much harder than I usually do. Even the small things -- my foot on…](https://sms4smile.com/quotes/david-levithan/because-of-the-size-of-this-body-i-must-concentrate-much-harder-than/) [David Levithan](https://sms4smile.com/quotes/author/david-levithan/) > [“…in that moment, as he saw and smelled how irresistible its effect was and how with lightning speed it spread and made captives of…](https://sms4smile.com/quotes/patrick-s-skind/in-that-moment-as-he-saw-and-smelled-how-irresistible-its-effect-was/) [Patrick Süskind](https://sms4smile.com/quotes/author/patrick-s-skind/) > [That man has missed something who has never left a brothel at sunrise feeling like throwing himself into the river out of pure disgust.](https://sms4smile.com/quotes/gustave-flaubert/that-man-has-missed-something-who-has-never-left-a-brothel-at-sunrise/) [Gustave Flaubert](https://sms4smile.com/quotes/author/gustave-flaubert/) [Browse all 274 Disgust quotes ](https://sms4smile.com/quotes/about/disgust/) ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "“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. 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