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The Physician as Patient


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Table of Contents

IntroductionPart I: Physician Characteristics and VulnerabilitiesChapter 1. The Psychology of Physicians and the Culture of MedicineChapter 2. Minority Physicians (Racial, Ethnic, Sexual Orientation) and International Medical GraduatesChapter 3. Psychiatric Evaluation of PhysiciansPart II: Diagnostic and Treatment Issues in the Distressed and Distressing PhysicianChapter 4. Psychiatric and Medical Illness in PhysiciansChapter 5. Addictions: Chemical and NonchemicalChapter 6. Personality Disorders, Personality Traits, and Disruptive PhysiciansChapter 7. Professional Boundary ViolationsPart III: Prevention, General Treatment Principles, and RehabilitationChapter 8. Psychodynamic Psychotherapy Chapter 9. Individual Cognitive Therapy and Relapse Prevention TreatmentChapter 10. Couples in Conflict and Their TreatmentChapter 11. The Suicidal Physician and the Aftermath of Physician SuicideChapter 12. PreventionAppendix: Resources and Web SitesReferencesIndex

Promotional Information

How are physician-patients like other patients... and how are they different? In a comprehensive manner, well referenced and using plenty of case examples, Drs. Gabbard and Myers tackle this question head on. This text will become a valuable, if not essential, resource to every clinician who wishes to understand the needs of their physician-patient and the cultural context in which their problems arise. Michael Kaufmann, M.D., Director, Physician Health Program, Ontario Medical Association The Physician as Patient in 12 chapters is superb, complete, concise, and easy to read and to apply. All health professionals should keep it handy for ongoing self and other referral, and insights into psychiatrically ill physicians. Detailed diverse patient examples include recognition of sex, gender, age, cultural, racial, ethnic, spiritual and relational factors important for accurate diagnosis and effective treatment. Leah J. Dickstein, M.D.M.S., Professor Emerita, University of Louisville, Department of Psychiatry

About the Author

Michael F. Myers, M.D., is Director of the Marital Therapy Clinic at St. Paul's Hospital and Clinical Professor in the Department of Psychiatry at the University of British Columbia in Vancouver, Canada. Glen O. Gabbard, M.D., is Brown Foundation Chair of Psychoanalysis and Professor in the Department of Psychiatry and Behavioral Sciences and Director of the Baylor Psychiatry Clinic at Baylor College of Medicine in Houston, Texas. He is also Training and Supervising Analyst at the Houston--Galveston Psychoanalytic Institute in Houston, Texas.


This excellent and well written book tackles a very difficult subject with care and concern, but manages to remain pragmatic and objective. The sections on suicidality, the culture of medicine, and professional boundary violations are particularly good. The case examples are relevant and appropriate and the writing is clear and unambiguous. I would highly recommend this book to anyone -- licensing board members, deans, clinicians -- who is involved with treating ill physicians. * Doody Enterprises *
Myers and Gabbard have made a significant contribution to physician mental health. While reading this book, I repeatedly muttered to myself," they really get it." On page after page, I consistently admired the authors' ability to reflect upon their experience with their corresponding impact on mental health. Their ability to integrate clinical assessment, diagnosis, and psychotherapy with medical culture and physician characteristic makes this book very useful to a wide audience. * PsycCRITIQUES *
This is a valuable, and much needed, resource for any mental health professional who treats physicians and their families. It should also be read by administrators concerned with the future of impaired physicians. * The Journal of Nervous and Mental Disease *
This book a gift of wisdom and generosity from authors who have been in the trenches for decades caring for physicians-and the medical profession as a whole. Their experiences are exposed thought case vignettes, and their breath and depth of knowledge are succinctly revealed. Dr. Michael F. Myers and Dr. Glen O. Gabbard ably entreat a paradigm shift in the culture of medicine and the care of physicians. This is a must-read text. * Journal of Clinical Psychiatry *
This handbook, co-authored by two of the leading psychoanalytic educators in Northern America, covers an important topic rarely addressed in the training of mental health care providers: providing treatment to the physician-patient. The entire book is an easy read and very well written. * David Baron, M.S.,Ed., D.O., Psychiatric Services *

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