Lepage D
Département de psychiatrie, Centre hospitalier universitaire de Sherbrooke, Qué.
CMAJ. 1991 Nov 15;145(10):1241-6.
The author deals with temporary incapacity, as currently expressed by "sick leave." Minor psychiatric problems are involved more and more as a cause of temporary incapacity, and sometimes the duration of such leaves of absence is much longer than might be warranted by the nature of the problem. Challenges by paying agents and employers are more and more frequent. On the basis of literature of a very general nature the author distinguishes between a difficult personal situation, a symptom, an illness, functional limitations and invalidity, the last one being at the crossroads between medical, personal and social reasons. The author emphasizes the particular difficulties experienced by physicians faced with that kind of problem and describes the rapid intervention needed to deal with the underlying reasons for an obvious request for a leave of absence.
作者探讨了目前以“病假”形式体现的暂时丧失工作能力问题。轻度精神问题作为暂时丧失工作能力的一个原因，其涉及程度越来越高，而且有时此类病假的时长远远超过问题本身性质所应有的时长。支付机构和雇主提出的质疑越来越频繁。基于非常一般性的文献资料，作者区分了艰难的个人处境、症状、疾病、功能限制和残疾，最后一项处于医学、个人和社会原因的交叉点上。作者强调了医生在面对这类问题时所遇到的特殊困难，并描述了应对明显的病假申请背后潜在原因所需的快速干预措施。
