Inside Doctoring: Stages and Outcomes in the Professional Development of Physicians

By Robert H. Coombs; D. Scott May et al. | Go to book overview

When Doctors Fail to Care for Themselves: Adaptation of a Lecture

George E. Vaillant

Psychiatry 700A. (Behavioral Science in Medicine) is a course at Harvard Medical School designed to sensitize medical students to the importance of self-awareness, and to decrease the distance between them and the patients they see. The concluding lecture in this course was given by George E. Vaillant, who outlines defense mechanisms used by physicians, as well as the risks of those mechanisms.

Today, to pull together the six sections of this course, I need to synthesize aggression, drinking, drug abuse, anxiety, inheritance, and attachment. I'm going to do it the way a lot of teaching and learning is done in medical school: each upon each--as our laboratory diagnosis teacher used to say. That's how you pass your first nasogastric tube, and how you draw your first blood. So today I'm going to demonstrate the relevance to doctors, to you, of what you've been learning.

One purpose of a psychiatry course in medical school is to teach you to be wise and to have as much sense about human affairs as your grandparents: to grow old before your time. What you're really trying to learn from psychiatry, then, is to be rational in the face of irrational feelings and behavior--in the face of unreason.

I'd like to introduce you to the relevance of such unreason with two recent letters from members of the Harvard Medical School class of '67 to the Alumni Bulletin:

It is an immensely sobering and painful thought to realize that out of my medical school class--a cohort of people in their late thirties--we have already lost six of our members, two through acts of God, one uncertain, and three quite definitely by their own hands. I fear that this is no more than one of the painful realities of life in an unbelievably demanding profession. Yet, I feel that we do not--as a group or profession--pay sufficient attention to this

-239-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Inside Doctoring: Stages and Outcomes in the Professional Development of Physicians
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 304

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.