Here the patient describes the fact that he is resilient and strong and understands that the medical care is for his own good, and that he needs to survive for the good of his remaining children. Regardless of his resilience and understanding he will experience triggers and potential emotional deterioration when re-exposed to the settings that parallel the conditions and setting of his traumatic history. Warning him may give him some control, and at least gives him permission to report that it is difficult. Warning the techs and medical assistants performing procedures cues them to why this may be unusually emotional for this particular person.