Abstract
A great deal has been said about physicians' stress but little about their reactions to the sense of failure which faces them in their practice. This article deals with that sense of failure as it pertains to self-image and some associated factors that might complicate the adjustment of some doctors to these difficult realities. The author discusses strategies of flight and other unconscious mechanisms used to cope with these problems.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Crombez J. C., Gascon L., Legault L., Pilic I., Plante G., Fontaine J. G. Le burn-out ou syndrome d'épuisement profesionnel. Union Med Can. 1985 Mar;114(3):176–181. [PubMed] [Google Scholar]
- Gabbard G. O. The role of compulsiveness in the normal physician. JAMA. 1985 Nov 22;254(20):2926–2929. [PubMed] [Google Scholar]
- Maddux J. F., Hoppe S. K., Costello R. M. Psychoactive substance use among medical students. Am J Psychiatry. 1986 Feb;143(2):187–191. doi: 10.1176/ajp.143.2.187. [DOI] [PubMed] [Google Scholar]
- Mawardi B. H. Satisfactions, dissatisfactions, and causes of stress in medical practice. JAMA. 1979 Apr 6;241(14):1483–1486. [PubMed] [Google Scholar]
- May H. J., Revicki D. A. Professional stress among family physicians. J Fam Pract. 1985 Feb;20(2):165–171. [PubMed] [Google Scholar]
- McCue J. D. The effects of stress on physicians and their medical practice. N Engl J Med. 1982 Feb 25;306(8):458–463. doi: 10.1056/NEJM198202253060805. [DOI] [PubMed] [Google Scholar]
- Mizrahi T. Managing medical mistakes: ideology, insularity and accountability among internists-in-training. Soc Sci Med. 1984;19(2):135–146. doi: 10.1016/0277-9536(84)90280-6. [DOI] [PubMed] [Google Scholar]
- Scheiber S. C. Emotional problems of physicians: I. Nature and extent of problems. Ariz Med. 1977 May;34(5):323–325. [PubMed] [Google Scholar]
- Shortt S. E. Psychiatric illness in physicians. Can Med Assoc J. 1979 Aug 4;121(3):283–288. [PMC free article] [PubMed] [Google Scholar]
- Smith J. W., Denny W. F., Witzke D. B. Emotional impairment in internal medicine house staff. Results of a national survey. JAMA. 1986 Mar 7;255(9):1155–1158. [PubMed] [Google Scholar]
- Vaillant G. E., Sobowale N. C., McArthur C. Some psychologic vulnerabilities of physicians. N Engl J Med. 1972 Aug 24;287(8):372–375. doi: 10.1056/NEJM197208242870802. [DOI] [PubMed] [Google Scholar]
- Walker J. I. Coping with the stress of medical practice. Conn Med. 1981 Sep;45(9):593–596. [PubMed] [Google Scholar]
- Young E. H. Relationship of residents' emotional problems, coping behaviors, and gender. J Med Educ. 1987 Aug;62(8):642–650. doi: 10.1097/00001888-198708000-00004. [DOI] [PubMed] [Google Scholar]
