Originally Posted by Ocean
When you talk about a disconnect between what doctors and patients describe, you must be talking about ex-patients. Current patients come to see their psychiatrists because they are to some degree or the other satisfied with the results. Otherwise they wouldn't come.
This is defintely not true. While people may think that the time spent on the couch is a waste of time and that it's not helping, there is a strange psychology that tells them that their dissatisfaction may be (and probably is) resistance to therapy and that they should stick with it. It's a win-win for the practitioner.