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The Impact of Impaired Supervisors on Residents

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Abstract

The author estimated the proportion of Canadian psychiatry residents who had ever worked with impaired supervisors and explored the residents’ reactions. A 22-item questionnaire was distributed to all 600 Canadian psychiatry residents; a total of 229 completed surveys were returned. Seven percent of surveyed residents reported working with an impaired supervisor. Female and senior residents were more likely to report such an experience. The most common reactions to working with supervisors perceived to be impaired were alterations in their work patterns (e.g., taking on more responsibilities, working without supervision), anger, conflict, and loss. Forty percent of residents in this situation recounted symptoms of depression and anxiety. Supervisors who are perceived as impaired seem to have a large impact, both professionally and personally, on the residents they supervise. Training programs need to actively address impairment in psychiatrists affiliated with their institution in order to aid both their colleague and the residents that they supervise.

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References

  1. Reuben DB, Noble S: House officer responses to impaired physicians. JAMA 1990; 263: 958–960

    Article  CAS  PubMed  Google Scholar 

  2. Centrella M: Physician addiction and impairment—current thinking: a review. J Addict Dis 1994; 13: 91–105

    Article  CAS  PubMed  Google Scholar 

  3. Serry N, Ball JRB, Bloch S: Substance abuse among medical practitioners. Drug and Alcohol Review 1991; 10: 331–338

    Article  CAS  PubMed  Google Scholar 

  4. Doyle BB: The impaired psychiatrist. Psychiatr Ann 1987; 17: 760–763

    Google Scholar 

  5. Arboleda-Florez J: The mentally ill physician. Can J Psychiatry 1984; 29: 55–59

    CAS  PubMed  Google Scholar 

  6. Osterheld J, Buckman D: Four aspects of therapists’ acute illness and injury that trigger transference reactions. Psychotherapy in Private Practice 1989; 7: 41–53

    Google Scholar 

  7. Counselman E, Alonso A: The ill therapist: therapist reactions to personal illness and its impact on psychotherapy. Am J Psychotherapy 1993; 47: 591–602

    CAS  Google Scholar 

  8. Simon J: A patient-therapist’s reaction to her therapist’s serious illness. Am J Psychotherapy 1990; 44: 590–597

    CAS  Google Scholar 

  9. Reynolds J, Jennings G, Branson M: Patients’ reactions to suicide of a psychotherapist. Suicide Life Threat Behav 1997; 27: 176–181

    CAS  PubMed  Google Scholar 

  10. Laverman L: The multi-level supervision model and the interplay between clinical supervision and psychotherapy. Clinical Supervisor 1994; 12: 75–91

    Article  Google Scholar 

  11. Aponte HJ: How personal can training get? J Marital Fam Ther 1994; 20: 3–15

    Article  Google Scholar 

  12. Sarnat J: Supervision in relationship: resolving the teachtreat controversy in psychoanalytic supervision. Psychoanalytic Psychology 1992; 9: 387–403

    Article  Google Scholar 

  13. Hockey J: Establishing boundaries: problems and solutions in managing the Ph.D. supervisor’s role. Cambridge Journal of Education 1994: 24: 293–305

    Article  Google Scholar 

  14. Plaut SM: Boundary issues in teacher-student relationships. J Sex Marital Ther 1993; 19: 210–219

    Article  CAS  PubMed  Google Scholar 

  15. Dunn B: Growing up with a psychotic mother: a retrospective study. Am J Orthopsychiatry 1993; 63: 177–189

    Article  CAS  PubMed  Google Scholar 

  16. Beardslee WR, Bemporad J, Keller MB, et al: Children of parents with a major affective disorder: a review. Am J Psychiatry 1983; 140: 825–832

    CAS  PubMed  Google Scholar 

  17. Kaufman C, Grunebaum H, Cohler B, et al: Superkids: competent children of psychotic mothers. Am J Psychiatry 1979; 136: 1398–1402

    Google Scholar 

Download references

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Correspondence to Karine J. Igartua M.D., C.M..

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The author acknowledges the 1996–97 COPE representatives for their help in distributing and collecting the survey. She also thanks her supervisors, Drs. Richard Montoro, Viviane Zicherman, and Pascale DesRosiers, without whom this project would not have been possible.

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Igartua, K.J. The Impact of Impaired Supervisors on Residents. Acad Psychiatry 24, 188–194 (2000). https://doi.org/10.1176/appi.ap.24.4.188

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  • DOI: https://doi.org/10.1176/appi.ap.24.4.188

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