Как определить психотип пациента и говорить с ним на одном языке

If you want to show respect for the patient, learn to be gentle with what he considers his "I". As early as 1935, the well-known Soviet therapist Professor Roman Luria introduced the concept of the "internal picture of the disease" into clinical medicine. (VKB), by which he understood everything that the patient experiences, experiences, his general well-being, self-observation, ideas about the disease and its causes.

This concept is still widely used in medical psychology today.

Find out in the article on estet-portal.com about what psychotypes of patients are distinguished in aesthetic medicine and how a practicing doctor can use this to build effective compliance from plastic surgeon, BusinessShot speaker Andrey Yakobchuk.

Common patient psychotypes in aesthetic medicine

A.Ya.: We must understand one thing, that there is no pure psychotype, just like the archetype of personality, in principle.  That is, it cannot be said that, for example, there is simply a hysterical type, there is a grieving type of the patient, there is psychomotor agitation, there is an aggressive type.

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These four types exist for a clear understanding of the structure and can be distinguished for the practice of each doctor. We must understand that in life psychotypes are always mixed with each other and there are always combined features. 

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One will have hysterical features, while all of them will have psychomotor agitation when the patient touches his hair, touches his face, or with elements of a grieving psychotype, when he stands sad, or, for example, with signs of an aggressive psychotype. And at the same time there is always overlap, so for a practical doctor of aesthetic medicine I try to divide them into three categories of psychotypes.

Classification of psychotypes of patients

A.Ya.: The first psychotype of patients who do not have a problem as such, they invent it for themselves. The second psychotype of patients who have minor cosmetic problems, and the third psychotype, where patients have a pronounced aesthetic defect.

It is from this that the doctor should determine his technique of behavior.

If, for example, there is no problem as such, you need to use the help of a colleague or use resources on the network, so that a patient with a given psychotype from the outside can show that there is no problem. But in no case, with this psychotype, you can not use your own speech to convince the patient. This will only create the effect of indifference and unprofessionalism. And, in this case, you will not correct the negativity and resentment of the patient, it will remain.

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If there is a minor problem, such as some symmetry after the − firstly, you need to wait, this time we wait until the seams should all normalize and return to normal. The first task in case of some minor problems with a given psychotype of the patient – is to say that the problem exists.

Six months will pass, the stitches will be different, and we will be able to solve this problem, even promise the patient to correct this problem free of charge. The patient will leave satisfied with you, while he waits for these six months and his result stabilizes, he will not produce negative in social networks towards the doctor or clinic.

Secrets of the success of a doctor in the field of aesthetic medicine

Third psychotype – this is when patients have serious aesthetic problems. In this case, you postpone all operations, postpone all consultations, you are aimed at solving this problem here and now. Involve colleagues, related specialists, show your involvement and interest in the favorable outcome of this situation. And this is precisely the solution, and key A. It makes no sense to single out, for example, a grieving type or some other one, since there will be no pure psychotype of the patient.

We can get confused, or make some kind of wrong proposal, wrong action that will not pacify this negative from the slightly satisfactory result of the operation, manipulation, but vice versa − catalyzes and this problem will become even bigger.

Acknowledgement of guilt of a doctor to patients

A.Ya.: In any situation, the recognition of the problem and the admission of guilt of the doctor is necessary. If some actions of the doctor, in particular mine, led to a problem, I say that I agree with you, there is an aesthetic problem, but we understand that the cartilages of the nose, for example, during rhinoplasty, sometimes heal not very predictably and the processes of fibrosis, engraftment of tissues, too, they are not always controlled. I see that the problem exists and I promise that we will solve it, not now, now it’s impossible, in six months or a year we can make this micro-correction.

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Need for the help of a psychologist in the practice of a doctor of aesthetic medicine

A.Ya.: Of course, if such a specialist existed in every clinic, it would make it possible to evaluate patients with psychological problems, with dysmorphophobia syndrome, when he hates and does not love his body.  But there is one caveat − it's a mentality. 

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A patient, regardless of his psychotype, may be offended because in the mentality of our person, if you ask for some kind of psychological consultation, just in case, he is already offended, thinks that you consider him abnormal.  It works, but in other countries, in Europe, but it gives super results in the United States of America, where in the very genetic code of Americans there is constant "digging" in oneself and you have heard phrases more than once that there are psychoanalysts who go to 10- 15 years as a fitness club.

Advice for a doctor to improve compliance with patients

A.Ya. I do not advise going deep into psychoanalysis. Here are some generalized topics or manuals on the deontology and behavior of a doctor, a superficial psychological analysis will benefit the doctor if he reads about it and just reads a lot, including fiction. It is also important to be knowledgeable in some information space and, of course, in the medical one.

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What influences conversion in a doctor's practice

A.Ya.: I believe that the time you spend with the patient affects the conversion. If you had a consultation with a patient in 10 minutes, even if a highly qualified specialist, compliance will be low. Because you need to spend an hour of time, firstly, in order to understand the tasks, to understand the needs of the patient.

Then it is necessary to analyze why the patient came, his body, his ability of tissues to regenerate, and only after that offer a solution. In the movie "Philadelphia" there is such a phrase "Explain it to me like a six-year-old child." Within an hour, explain to the patient, like a six-year-old child, what you are suggesting. And then you will definitely have a 99% conversion rate.

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