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TO THE BIOMEDICALLY ORIENTED PSYCHIATRIST: PREDICTION

One problem which you are often faced with is predictability. You will be asked to predict which people are likely to be dangerous to others and to themselves, and then have to make decisions based on those judgements. The process paradigm, at this early stage, offers a few notes about this. Clients with no edge to their secondary processes will follow these processes with little or no hesitation. For example, someone who says, ‘Others have killed themselves. Why not me?’ is in dangerous trouble. A congruent primary message without double signals is also believable. T will kill myself soon, without any superfluous or contradictory body motions is a serious statement. The best Way I know of dealing with these situations is to believe them and help the individuals play, imagine or fantasize these situations now, as if they were happening in your office. In this way, dangerous situations can turn into constructive ones.
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