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  #1  
Old 12-08-2010
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Psyche what kind of gain?

A 62-year-old man comes to see a psychiatrist for depression, which he has had since his wife died. He talks to the psychiatrist once a week for a year. At the end of the year, the patient thanks the psychiatrist for his help during a difficult time and says that he no longer needs the psychiatrist. As the psychiatrist says good-bye and good luck to his patient, he feels proud of himself. The feeling of the psychiatrist is what kind of gain?

A Primary
B Secondary
C Tertiary
D Quaternary
E None

Actually, I don't know the answer for this qn, plz help me. Thanks
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Old 12-08-2010
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I'm not sure about this myself, but I'll take a shot:
First of all, when we talk about gain, its usually in a negative sense, for example primary gain is the positive benefit of a negative condition (I get to miss school because I'm sick)
Secondary gain is a positive benefit to a patient of something you're doing -ie: not a primary gain - something beyond that so not simply the benefit of getting to miss school but something like you get to laugh at people who do have to go to school
Tertiary gain as far as I know refers to the way symptoms may become enhanced to please healthcare providers...
I have no idea what quaternary gain is.

So, based on this patchwork understanding of this concept, my answer is B secondary gain - The psychiatrist gets paid, but the secondary gain is that they feel good about what they do.

Again, I reiterate... I don't have any sources for this - just something I remember from psych class years ago, someone please correct me
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  #3  
Old 12-09-2010
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Quote:
Originally Posted by ashishkabir View Post
I'm not sure about this myself, but I'll take a shot:
First of all, when we talk about gain, its usually in a negative sense, for example primary gain is the positive benefit of a negative condition (I get to miss school because I'm sick)
Secondary gain is a positive benefit to a patient of something you're doing -ie: not a primary gain - something beyond that so not simply the benefit of getting to miss school but something like you get to laugh at people who do have to go to school
Tertiary gain as far as I know refers to the way symptoms may become enhanced to please healthcare providers...
I have no idea what quaternary gain is.

So, based on this patchwork understanding of this concept, my answer is B secondary gain - The psychiatrist gets paid, but the secondary gain is that they feel good about what they do.

Again, I reiterate... I don't have any sources for this - just something I remember from psych class years ago, someone please correct me
I am also not sure about this but i think the Psychiatrist is not drawing any benefits from the appearance or disappearance of symptoms so there is no gain for the psychiatrist in this case.

As for the other options i think they can be better explained by examples,

Primary Gain : Best example is Conversion disorder. Pt gets relief from internal anxiety or conflict by displaying a physical symptom.

Secondary Gain: As Pt is now considered ill, he gets more attention, he doesn't have to go to school, skips the test etc. These are the benefits which come with the fact that he is sick.

Tertiary gain: When a third party gains due to the illness of a pt usually a family member.

Have no idea about Quatenary gain.

So i would chose E. None
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Old 11-22-2011
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any help to answer this question??
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  #5  
Old 11-23-2011
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Help

Never heard about this concept of gain on step 1.Where is it explained? Kaplan lecture notes?
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