Family Therapy for the Impaired Physician
A colleague told me the following vignette: A 30-year-old, married surgeon with two children came for psychiatric help because of trouble concentrating during operations. He had married during medical school. The early part of the marriage had never stabilized; he and his wife had had frequent disagreements which were never resolved. He had noted an increasing use of alcohol and drugs and had sought psychotherapy. Two days before his most recent appointment for psychotherapy, he performed his usual preoperative routine, saw his patient, whom he had taken care of for many years, and did his operation. Upon leaving the hospital, he realized that he had repeated on that patient the same surgical procedure that he had done two weeks earlier instead of the procedure he had intended to do. He realized that the operation had followed a particularly upsetting argument that he had had with his wife the night before.
KeywordsDepression Schizophrenic Disorder Clarification Cyano
Unable to display preview. Download preview PDF.
- 1.Waring EM: Medical professionals with emotional illness: A controlled study of the hazards of being a “special patient.” Psychiat J Univ Ottowa 4:161–164, 1977.Google Scholar
- 2.Glick ID, Kessler DR: Marital and Family Therapy, 2d ed. New York, Grune & Straton, 1980, pp 6, 126, 128.Google Scholar
- 3.Deckert G: Personal communication, 1979.Google Scholar
- 4.Borus J: Personal communication, 1980.Google Scholar
- 8.Krell R, Miles JE: Marital therapy of couples in which the husband is a physician. Am J Psychotherapy 30. 267–275, 1976.Google Scholar