Responsibility, Confidentiality, and the Psychiatrically Ill Physician

  • Brian B. Doyle


Physicians are notoriously difficult patients, regardless of the type of their illness. It is particularly difficult for afflicted physicians, their family, friends, patients, and fellow physicians, to contend with psychiatric illness. Because of the emotional impact of psychiatric illness, the usual conflict between confidentiality and responsibility is heightened in those who would be helpful.


Psychiatric Illness Psychiatric Hospitalization Continue Medical Education Credit Medical School Applicant Usual Conflict 
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  1. 1.
    Duffy JC, Litin, EM: Psychiatric morbidity of physicians. JAMA 189:989–992, 1964.PubMedCrossRefGoogle Scholar
  2. 2.
    Waring EM: Psychiatric illness in physicians: A review. Psychiat 15:519–520, 1974.Google Scholar
  3. 3.
    Vaillant GC, Sobowale NC, McArthur C: Some psychologic vulnerabilities of physicians. N Engl J Med 287:372–375, 1972.PubMedCrossRefGoogle Scholar
  4. 4.
    Scheiber S: Emotional problems of physicians. Ariz Med 34:323–325, 1977.PubMedGoogle Scholar
  5. 5.
    a’Brook MF, Hailstone JD, McLauchlan IEJ: Psychiatric illness in the medical profession. Br J Psychiat 113:1013–1023, 1967.CrossRefGoogle Scholar
  6. 6.
    Pearson MM, Strecker EA: Physicians as psychiatric patients: Private practice experience. Am J Psychiat 116:915–919, 1960.PubMedGoogle Scholar
  7. 7.
    Jones RE: A study of 100 physician psychiatric inpatients. Am J Psychiat 134:1119–1123, 1977.PubMedGoogle Scholar
  8. 8.
    Pond DA: Doctor’s mental health (ed), Mental disturbance in doctors. NZ Med J 69:131–135, 1969.Google Scholar
  9. 9.
    Sainsbury P: Suicide and depression, in Coppen AJ, Walk A (eds): Recent Developments in Affective Disorders. London, Headley Brothers, 1968, pp 1–33.Google Scholar
  10. 10.
    Simon W, Lumry GK: Suicide among physician-patients. J. Nerv Ment Disorder 147:105–112, 1968.CrossRefGoogle Scholar
  11. 11.
    Jones RE: Physician’s personality a factor in psychiatric hospitalization. Roche Rep: Frontiers in Psychiatry April 15, 1977.Google Scholar
  12. 12.
    Rose KD, Rosow I: Physicians who kill themselves. Arch Gen Psychiat 29:800–805, 1973.PubMedCrossRefGoogle Scholar
  13. 13.
    Murray M: Psychiatric illness in doctors. Lancet 1:1211–1213, 1974.PubMedCrossRefGoogle Scholar
  14. 14.
    Haar E, Green MR, Hyams L: Characteristics of physicians who have had psychotherapy. Arch Gen Psychiat 27:705–709, 1972.PubMedCrossRefGoogle Scholar
  15. 15.
    Small IF, Small JG, Assue CM, et al: Fate of the mentally ill physician. Am J Psychiat 125:1333–1342, 1969.PubMedGoogle Scholar
  16. 16.
    Ross JL: The physician as a psychiatric patient. Psychiat Digest 37:46, 1971.Google Scholar
  17. 17.
    Shapiro ET, Pinsker H, Shale JH: The mentally ill physician as practitioner. JAMA 232:725–727, 1975.PubMedCrossRefGoogle Scholar
  18. 18.
    Gold N: The doctor, his illness, and the patient. Aust NZ J Psychiat 6:209–213, 1972.CrossRefGoogle Scholar
  19. 19.
    Menninger RW: Mental health and the physician: Who worries about his? Maryland State Med J 19:58–62, 1970.Google Scholar
  20. 20.
    Robertson J. Report of the American Medical Association Council of Mental Health, March 1981.Google Scholar
  21. 21.
    Main T: The ailment. Brit J Med Psychiat 30:129–145, 1957.CrossRefGoogle Scholar
  22. 22.
    Kahana R, Bibring G: Personality types in medical management, in Zinberg N (ed): Psychiatry and Medical Practice in a General Hospital, New York, International Universities Press, 1964, pp 108–123.Google Scholar
  23. 23.
    Pollack IW, Battle WC: Studies of the special patient. Arch Gen Psychiat 9:344–350, 1963.PubMedCrossRefGoogle Scholar
  24. 24.
    Impaired physicians now may find help through MSMS program, editorial: Mich Med 37:413–420, 1975.Google Scholar
  25. 25.
    AMA Council on Mental Health: The sick physician: Impairment by psychiatric disorders. JAMA 223:684–687, 1973.CrossRefGoogle Scholar
  26. 26.
    Webster TG, Robinowitz CB: Medical student identity group: A four year experience. Paper presented at the Annual Meeting of the American Psychiatric Association, Toronto, Canada, May 4, 1977.Google Scholar

Copyright information

© plenum Publishing Corporation 1983

Authors and Affiliations

  • Brian B. Doyle
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesGeorge Washington University School of Medicine and Health SciencesUSA

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