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[长期工作的精神科医生的精神与动力]

[The spirit and motivation of the for long working psychiatrist].

作者信息

van Bodegraven E

出版信息

Tijdschr Psychiatr. 2021;63(7):565-569.

PMID:34523709
Abstract

BACKGROUND

Independent psychiatrists around 68 years old often postpone the phasing out of their working practices. They have difficulty to decide whether, when and how to retire.

AIM

Clarify why many independent psychiatrists keep on working for long after their retirement age, and how they eventually can phase out their practices.

METHOD

Interviews with over 50 independent psychiatrists, within the context of IFMS (Individual Functioning Medical Specialists), and consultation of literature.

RESULTS

Three quarters of the consulted psychiatrists struggled with emotions concerning retirement. Narcissistic and obsessive compulsive motives, but also the pleasure in their work and the feeling of being needed, often played a role. Continuing to work keeps us physically and mentally healthy, once retirement comes into view. Still, it is wise to stop working before our old age actually diminishes our functioning. Gradually and tightly managing the phasing out of work, and at the same time building up a new life perspective, seems to be the best approach for effective retirement.

CONCLUSION

In the western world, the retirement age increases gradually - independent psychiatrists exceed this trend, by working for even longer. Responsibly phasing out their practices means: the need to anticipate on an undefinable stopping moment. Letting go, loss, and starting a new phase, can be an intense process, also for psychiatrists, in which assignment emotional and practical support can be helpful.

摘要

背景

68岁左右的独立精神科医生常常推迟逐步停止工作。他们难以决定是否退休、何时退休以及如何退休。

目的

阐明为何许多独立精神科医生在达到退休年龄后仍长时间继续工作,以及他们最终如何能够逐步停止工作。

方法

在“个体功能医学专家”(IFMS)项目背景下,对50多位独立精神科医生进行访谈,并查阅文献。

结果

四分之三接受咨询的精神科医生在退休相关情绪方面存在困扰。自恋和强迫性动机,以及工作中的乐趣和被需要的感觉,常常起到作用。一旦退休在望,继续工作能让我们保持身心健康。然而,在年老实际影响我们的工作能力之前停止工作是明智的。逐步且妥善地管理工作的逐步退出,同时建立新的生活视角,似乎是有效退休的最佳方法。

结论

在西方世界,退休年龄逐渐提高——独立精神科医生却超越了这一趋势,工作时间更长。负责任地逐步停止工作意味着:需要预见到一个难以确定的停止时刻。放手、失去以及开启新阶段,对精神科医生来说也可能是一个激烈的过程,在这个过程中给予情感和实际支持会有所帮助。

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