Lund University, Medical Faculty, History of Medicine, Lund, Sweden
Med Humanit. 2020 Sep;46(3):250-256. doi: 10.1136/medhum-2018-011525. Epub 2019 Jul 29.
This article explores the complexity of mental distress among physicians, as portrayed in two literary narratives: John Berger and Jean Mohr's (1967) and Pia Dellson's (2015, 'The Wall: Notes by a Burnt-Out Psychiatrist'). Departing from a historical understanding of medical practice, the article seeks to discuss whether some of the noted similarities and differences in the two narratives could be related to changes appearing over time in the role model of the medical encounter. As the two narratives provide illustrative descriptions of the difficulties experienced by doctors suffering from mental discomfort, they also call for a greater awareness among medical practitioners of the sociological terms of doctoring. Practising a person-centred, rather than patient-centred, care might be part of such awareness and is discussed as a possible protective strategy for physicians at risk of work-related mental distress.
这篇文章探讨了医生精神困扰的复杂性，这在两个文学叙述中有所体现：约翰·伯格和让·莫尔（1967 年）的作品，以及皮娅·德尔森（2015 年）的《墙：一位精疲力竭的精神科医生的笔记》。本文从医学实践的历史角度出发，探讨了这两个叙述中的一些相似和不同之处是否与医疗接触中角色模型随时间的变化有关。由于这两个叙述提供了对遭受精神不适的医生所经历的困难的生动描述，它们也呼吁医疗从业者更加意识到医学的社会学术语。实行以人为主导的医疗，而不是以病人为主导的医疗，可能是这种意识的一部分，并被讨论为一种可能的保护策略，以防止有工作相关精神困扰风险的医生。
