TREATMENT ISSUES IN THE GROUP PSYCHOTHERAPY OF ADDICTED PHYSICIANS Michael Fayne, Ph.D., and Matthew Silvan, Ph.D. While there has been a great deal written about impaired physi- cians, few articles have been devoted to the clinical issues that arise in the treatment of these patients. Many are summary re- ports from state medical society programs (Canavan, 1983; Cas- per, et al, 1988; Gallegos et al, 1992; Shore, 1987). Other articles report demographic data or describe prevalency rates (Brooke et al 1993; Hughes et al, 1992, Waterhouse et al, 1997). Those that discuss treatment tend to focus on outcome but do not describe in detail what actually occurs during treatment (see Herington et al, 1982, Gallegos et al, 1992, Benzer, 1993). This is a significant omission in light of the fact that a number of authors note that physicians are in some respects different than other addicts (Kleber, 1984; Smith, 1978; Talbot, 1996) and require some modi- fications in the treatment that they receive. While several articles have been written on the related topic of how to treat psychiatric problems in physicians (Gabbard, 1995; Stoudemire and Rhodes, 1983; Meissner and Wohlauer, 1979) clinicians have not articu- lated how physician addicts
Psychiatric Quarterly – Springer Journals
Published: Sep 30, 2004
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