Keri Brenner

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398 appearances 2 recordings 1 series first heard Apr 2020 last heard Feb 2023

Keri Brenner’s voice in public audio — every appearance, attributed to the second.

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But I would say, so enactment.
Enactment.
that?
Enactment.
But we can't acknowledge within ourselves or say in words.
It'll come out in behaviors.
We'll act it out.
It'll come out in these deep behaviors, just like you mentioned earlier, where maybe we stave off seeing that patient, send the medical student instead or delay that visit till the end of the day.
These reactions that we have with patients, if we can't acknowledge them or verbalize them, might come out in our care, either conspicuously or maybe in a camouflage kind of way.
Yeah, we can either over-treat or under-treat.
It's just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within.
I know I had this curmudgeon patient last month who has cirrhosis and I just kept punting seeing him till later in the day and suddenly it's 5 p.m.
and I'm just dragging my feet to get to his room.
Exactly.
So I know that formulation also sounds like probably psycho jargon, but it's actually a fairly simple concept.
A formulation is the why beneath a patient's thoughts, emotions, or behaviors.
It's asking ourselves, why is this patient thinking, feeling, or acting in this way?
So you're exactly right.
It's a hypothesis.
It's a theory for understanding the patient's psychology of what's happening beneath the surface that's driving what we're seeing in the room.
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