Thursday, 15 November 2012

Compulsiveness of Physicians, Dentists, other health-care professionals

     "Doubt, guilt feelings, and an exaggerated sense of responsibility form a compulsive triad in the personality of the (typical) physician. This triad manifests itself in both adaptive and maladaptive ways.

     Maladaptive (ways):
• difficulty in relaxing, 
• reluctance to take vacations from work, 
• problems in allocating time to family, 
• an inappropriate and excessive sense of responsibility for things beyond one's control, 
• chronic feelings of 'not doing enough,' 
• difficulty setting limits, 
• hypertrophied guilt feelings that interfere with the healthy pursuit of pleasure, and 
• the confusion of selfishness with healthy self-interest.

     ... paradox: compulsiveness and excessive conscientiousness are character traits that are socially valuable, but personally expensive. Society's meat is the physician's poison.

     One of the determinants of the choice of the medical profession may be to defend against the horrible existential dread associated with feelings of impotence in the face of one's own ultimate death. ... there is often a secret omnipotence in the form of overdeveloped expectation of one's self ... unconscious or conscious fantasies that he can outwrestle the Angel of Death. ... (yet) The practice of medicine is, for the most part, only palliative; another grand paradox on which to reflect is that those individuals who are so vulnerable to feelings of helplessness choose a profession where they are repeatedly reminded of their inherent impotence in the face of disease and death."
       Gabbard GO. The role of compulsiveness in the normal physician. JAMA 1985; 254(20): 2926-9.

     See also: http://healthyhealers.blogspot.ca/2012/10/calling-all-risk-averse-avoidants.html


     “Wisdom is deep understanding and practical skill in the central issues of life, especially existential and spiritual issues.
        Walsh R. Essential spirituality. The 7 central practices to awaken heart and mind. John Wiley & Sons Inc, NY, 1999.

Fall in Nova Scotia

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