Doctors as patients: how psychological therapists experience the opposing ideologies

Journal article


Silk, C and Binnie, J (2018). Doctors as patients: how psychological therapists experience the opposing ideologies. European Journal of Psychotherapy and Counselling.
AuthorsSilk, C and Binnie, J
Abstract

Research suggests that doctors experience higher levels of stress and mental health problems than the general population. Doctors frequently experience difficulty seeking help, and also challenges during psychological treatment, due to role reversal and competing ideologies. Focusing specifically on the under-researched area of doctors as patients in a psychological context, this paper explores the processes underlying role transition as well as the therapeutic relationship that follows. Furthermore, therapeutic reactions and adaptions of practice to this dynamic is also explored. A qualitative approach was employed and seven psychological therapists who had worked extensively with doctors as their patients were interviewed. Subsequent interview data were thematically analyzed. Six themes were generated: fear and pressure; status and control; variation of ideologies; change in practice; temporal changes; and help seeking and support. The main barrier to recovery for doctors is difficulty in accessing services owing to the high-levels of stigma and shame that may be experienced. This research identifies some of the adaptions made by psychological therapists within their practice when working with doctors as patients.

Keywordsdoctors; mental health; psychotherapy; qualitative
Year2018
JournalEuropean Journal of Psychotherapy and Counselling
PublisherTaylor & Francis (Routledge)
ISSN1364-2537
Web address (URL)https://www.tandfonline.com/loi/rejp20
Publication process dates
Deposited11 Dec 2018
Accepted10 Dec 2018
Accepted author manuscript
License
CC BY 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/8685x

Accepted author manuscript

  • 1
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Related outputs

Development and implications of pornography use: a narrative review
Binnie, J and Reavey, P (2019). Development and implications of pornography use: a narrative review. Sexual and Relationship Therapy.
Let’s put the ‘T’ back into CBT
Binnie, J and Spada, MM (2018). Let’s put the ‘T’ back into CBT. Mental Health Review Journal. 23 (4), pp. 240-245.
Teaching CBT to Pre-Registration nurses: A critical account of a teaching session to pre-registration mental health nurses on the subject of cognitive behavioural therapy and trauma.
Binnie, J (2018). Teaching CBT to Pre-Registration nurses: A critical account of a teaching session to pre-registration mental health nurses on the subject of cognitive behavioural therapy and trauma. International Journal of Psychosocial Rehabilitation. 22 (1), pp. 55-64.
Medical approaches to suffering are limited, so why critique Improving Access to Psychological Therapies from the same ideology.
Binnie, J (2018). Medical approaches to suffering are limited, so why critique Improving Access to Psychological Therapies from the same ideology. Journal of health psychology. 23 (9), pp. 1159-1162.
Cognitive behavioural treatment for problematic hoarding: A case study
Binnie, J (2015). Cognitive behavioural treatment for problematic hoarding: A case study. International Journal of Psychosocial Rehabilitation. 20 (1), pp. 5 - 14.
Do you want therapy with that? A critical account of working within IAPT
Binnie, J (2015). Do you want therapy with that? A critical account of working within IAPT. Mental Health Review Journal. 20 (2), pp. 79 - 83.
Non-attendance at psychological therapy appointments
Binnie, J and Boden, Z (2016). Non-attendance at psychological therapy appointments. Mental Health Review Journal. 21 (3), pp. 231-248.