Doubts about being of value to medically ill patients and their referring physicians is not an uncommon emotional reaction of consultation-liaison psychiatrists to the medical environment. Both realistic perceptions of negative attitudes of non-psychiatric physicians as well as unrealistic doubts about their potential uesfulness, which may be projected upon and attributed to their non-psychiatric colleagues, can contribute to this unsettling response. This reaction may interfere with effective collaboration between consultation-liaison psychiatrists and their non-psychiatric colleagues and needs to be understood and mastered.
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References
1.
MendelsonM. and MeyerE., Countertransference Problems of the Liaison Psychiatrist, Psychosomatic Medicine, 23, pp. 115–122, 1961.
2.
PeteetJ. R. and ReichP., Problems in Learning Consultation-Liaison Psychiatry, McLean Hospital Journal, 1, pp. 33–36, 1980.
3.
PerryS. and ViedermanM., Adaptation of Residents to Consultation-Liaison Psychiatry, II: Working with the Non-psychiatric Staff, General Hospital Psychiatry, 3, pp. 149–156, 1981.
4.
ViedermanM., The Active Dynamic Interview and the Supportive Relationship, Comprehensive Psychiatry, 25, pp. 147–157, 1984.
5.
HenryG. W., Some Modern Aspects of Psychiatry in General Hospital Practice, American Journal of Psychiatry, 86, pp. 481–499, 1929.
6.
BillingsE. G., Value of Psychiatry to the General Hospital, Hospitals, 15, pp. 30–34, 1941.
7.
KrakowskiA. J., Psychiatric Consultation in the General Hospital: An Exploration of Resistances, Diseases of the Nervous System, 36, pp. 242–244, 1975.
8.
BrownW. A. and JacobsonE. M., Consultation-Liaison Psychiatry: Current Responsibilities, American Journal of Psychiatry, 133, pp. 326–328, 1976.
9.
StrainJ. J., The Medical Setting: Is It beyond the Psychiatrist?American Journal of Psychiatry, 134, pp. 253–256, 1977.
10.
De-NourA. K., Attitudes of Physicians in a General Hospital towards Psychiatric Consultation Service, Mental Health and Society, 5, pp. 215–223, 1978.
11.
FinkelJ. B., Physician Countertransference: Impact on Patients, Treatment Team, and Patient's Adaptation to Illness, in Consultation-Liaison Psychiatry: Current Trends and New Perspectives, FinkelJ. B. (ed.), Grune and Stratton, New York, pp. 53–70, 1983.
12.
SpikesJ. and HollandJ., The Physician's Response to the Dying Patient, in Psychological Care of the Medically Ill: A Primer in Liaison Psychiatry, StrainJ. J. and GrossmanS. (eds.), Appleton-Century-Crofts, New York, pp. 138–150, 1975.
13.
GorlinR. and ZuckerH. D., Physicians' Reactions to Patients: A Key to Teaching Humanistic Medicine, New England Journal of Medicine, 308, pp. 1059–1063, 1983.
