Skipper G E
Department of Medicine, Oregon Health Sciences University, Newberg 97132, USA.
J Addict Dis. 1997;16(3):67-73. doi: 10.1300/J069v16n03_07.
Chemical dependence among health professionals is a significant problem, with a lifetime prevalence of approximately 10-15%. A physician who undertakes the challenge of treating other physicians for chemical dependence must have firm boundaries, and must be willing to provide extra time and patience. Denial of symptoms, countertransference and other pitfalls have been cited as prominent potential problems. Although there is evidence that physicians in general have excellent outcomes following chemical dependence treatment, mismanagement can be disastrous. Standards are suggested for centers that wish to treat this population.
医疗专业人员中的药物依赖是一个重大问题,终生患病率约为10%-15%。一名承担起治疗其他药物依赖医生这一挑战的医生必须有明确的界限,并且必须愿意投入额外的时间和耐心。否认症状、反移情及其他陷阱被认为是突出的潜在问题。尽管有证据表明,一般而言医生在药物依赖治疗后有良好的疗效,但管理不当可能会造成灾难性后果。本文为希望治疗这类人群的机构提出了标准。