dc.contributor.author |
Stanton, Josephine |
|
dc.contributor.author |
Randal, Patte |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2023-07-06T04:55:55Z |
|
dc.date.available |
2023-07-06T04:55:55Z |
|
dc.date.issued |
2016-05 |
|
dc.identifier.citation |
(2016). BMJ Open, 6(5), e010216-. |
|
dc.identifier.issn |
2044-6055 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64509 |
|
dc.description.abstract |
<h4>Objective</h4>To better understand the complexities of developing an effective psychiatrist-patient relationship when both people involved are doctors.<h4>Method</h4>In-depth, semistructured interviews were conducted with 11 doctors with experiences as patients of psychiatrists (DPs) and eight psychiatrists with experience of treating doctors (TPs). A thematic analysis was undertaken.<h4>Results</h4>The medical culture of unrealistically high standards with limited room for vulnerability and fallibility, vigilance for judgment and valuing clinical over personal knowledge affected both people in the relationship. DPs struggled with the contradictions involved in entering the patient role but tried hard to be good patients. They wanted guidance but found it hard to accept and seldom communicated dissatisfaction or disagreement to their TPs. They described widely varying responses to diagnosis and treatment within the biomedical model. TPs described enjoyment and satisfaction and extreme challenge in engaging with TPs. Despite focusing on providing ordinary care they described providing extra care in many ways.<h4>Conclusions</h4>This study brings forward important issues when a psychiatrist is building a therapeutic relationship with another doctor. These are also likely to arise with other people and contribute to making truly patient-centred 'ordinary care' a hard ideal to fulfil. They include: (1) doctors' sense of ourselves as invincible, (2) TPs' sense of personal connection to, and identity with, DPs, (3) having extensive medical knowledge and (4) striving to be good patients. We need to make these issues explicit and enable the DP (or other patients) to tell their story and speak about their experience of the consultation so that any potential rupture in the therapeutic relationship can be addressed early. |
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dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
BMJ |
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dc.relation.ispartofseries |
BMJ open |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
http://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Attitude of Health Personnel |
|
dc.subject |
Social Identification |
|
dc.subject |
Self Concept |
|
dc.subject |
Physician-Patient Relations |
|
dc.subject |
Mental Disorders |
|
dc.subject |
Psychiatry |
|
dc.subject |
Qualitative Research |
|
dc.subject |
Adult |
|
dc.subject |
Aged |
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dc.subject |
Middle Aged |
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dc.subject |
Physicians |
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dc.subject |
Female |
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dc.subject |
Male |
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dc.subject |
Interviews as Topic |
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dc.subject |
MENTAL HEALTH |
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dc.subject |
organisational culture |
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dc.subject |
physician impairment |
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dc.subject |
Clinical Research |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1199 Other Medical and Health Sciences |
|
dc.title |
Developing a psychiatrist-patient relationship when both people are doctors: a qualitative study. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1136/bmjopen-2015-010216 |
|
pubs.issue |
5 |
|
pubs.begin-page |
e010216 |
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pubs.volume |
6 |
|
dc.date.updated |
2023-06-12T23:22:37Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
27207623 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/27207623 |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
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pubs.subtype |
Journal Article |
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pubs.elements-id |
920591 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
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dc.identifier.eissn |
2044-6055 |
|
dc.identifier.pii |
bmjopen-2015-010216 |
|
pubs.record-created-at-source-date |
2023-06-13 |
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pubs.online-publication-date |
2016-05-20 |
|