Some psychologic vulnerabilities of physicians.

Some psychologic vulnerabilities of physicians.
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医生的一些心理弱点。

DOI:
--
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发表时间:
1972
影响因子:
158.5
通讯作者:
C. McArthur
C. McArthur
中科院分区:
医学1区
文献类型:
--
作者:
G. Vaillant;N. C. Sobowale;C. McArthur

文献摘要

被引文献

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摘要将47名医生的童年与79名社会经济状况匹配的非医学职业对照进行比较。在30年的成年生活中,医生的药物使用,婚姻不稳定和诉诸心理治疗也与对照组进行了比较。医生,尤其是那些直接照顾病人的医生,比对照组更有可能有相对糟糕的婚姻,大量使用毒品和酒精,并接受心理治疗。虽然这些困难通常被认为是医学的职业危害,但它们的存在或不存在似乎与医学院前的生活调整密切相关。只有童年和青春期调整最不稳定的医生才容易受到这些职业危害的影响。研究结果可能有助于内科患者的医学和心理管理。
Abstract The childhoods of 47 physicians were compared with those of 79 socioeconomically matched controls in occupations other than medicine. During 30 years of adult life, drug use, marital instability and resort to psychotherapy of the physicians was also compared with that of the controls. Physicians, especially those involved in direct patient care, were more likely than controls to have relatively poor marriages, to use drugs and alcohol heavily, and to obtain psychotherapy. Although these difficulties are often assumed to be occupational hazards of medicine, their presence or absence appeared to be strongly associated with life adjustment before medical school. Only the physicians with the least stable childhoods and adolescent adjustments appeared vulnerable to these occupational hazards. The findings may contribute to the medical and psychologic management of physician patients.