To sum up what went before: I would like to suggest that the ‘heart-sink’ patient's behaviour and attitude begin to make sense, and are entirely appropriate and consistent, if we bear in mind the strong possibility of a past history of abuse, in the widest sense of the term: emotional, physical, and sexual. We could decide to see the ‘heart-sink’ patient as someone for whom things went seriously wrong early on in life: in a relationship of trust, at a vulnerable stage in development.
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