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PACEs in Medical Schools

Tagged With "Mr. Nice Guy"

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What a Pediatrician Can Do for a Child Seeking Asylum-And What She Can't [newyorker.com]

By Rachel Pearson, The New Yorker, October 8, 2019 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup, and dinner was a cold bean burrito. She says...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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Becoming Trauma Informed (Millstein JGIM 2020)

Megan Gerber MD MPH ·
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
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GUEST EDITORIAL: We need a new model for mental health [heraldtribune.com]

By Andrea Blanch, Sarasota Herald-Tribune, July 27, 2020 People are really stressed out right now. A recent national survey reports that “serious psychological distress” — the kind that can lead to longer-term psychiatric disorders — has more than tripled since this time last year. We are already seeing the consequences in Sarasota County, with the number of opioid-related deaths in the first half of 2020 more than double the number in all of 2019. And based on experience with SARS, experts...
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The Mr. Nice Guy Syndrome and Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
The Mr. Nice Guy Syndrome is a curious mixture of appealing strengths, insecurities, and problematic behaviors rooted in adverse childhood experiences. Mr. Nice Guy compensates for hidden childhood wounds by struggling to do everything right, but the syndrome's limited gains come at a cost. The syndrome suggests strategies for a more satisfying adulthood and better relationships.
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For Better Relationships and Self-Esteem, Replace Common Mr. Nice Guy Thought Patterns

Dr. Glenn Schiraldi ·
The Mr. Nice Guy syndrome's dysfunctional thought patterns are common in survivors of adverse childhood experiences. Uprooting these patterns can improve self-esteem and relationships.
Blog Post

Adverse Childhood Experiences and the Agony of Perfectionism: A Better Way to Achieve Your Goals

Dr. Glenn Schiraldi ·
The rigid pursuit of perfection poses a high risk to health and performance. A kinder, more flexible approach to pursuing high standards leads to better health and performance. Perfectionism, which is motivated by fear and self-doubt, is often rooted in adverse childhood experiences.
Blog Post

Adverse Childhood Experiences: Who Stumbles and Who Thrives? Learning resilience from the tales of 14 uncommon siblings raised in poverty

Dr. Glenn Schiraldi ·
Michael J. Menard’s fascinating book recounts how fourteen children faced uncommon challenges. Yet most of them found the way to overcome their struggles and thrive.
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