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<title>Doctor's Dilemma</title>
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<namePart>Holland, John W.</namePart>
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<publisher>Free Association Books</publisher>
<dateIssued>1995</dateIssued>
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<note>The work of a general practitioner can be highly stressful and the source of much of the stress is often the conflict that arises between the needs of the doctor and those of the patient. Attitudes and assumptions frequently come into play which make the work of the practitioner less effective and in turn also produce stress. A doctor has to face many common but disturb-ing situations such as dealing with highly distressed people, seductive behaviour and anger in the consultation, as well as the demands of rela-tionships with fellow professionals. A Doctor's Dilemma examines and probes the forces that impact on the carer in order to understand and defuse the stress they cause.

Today's popular focus when considering stress is too often on factors external to the self, proposing behavioural solutions as the way to deal with it. This book takes a more radical approach. Stress, it argues, can be the consequence of internal pressures within the individual which can under-mine more focused, less demanding and, arguably, more constructive ways of working. In particular it explores and applies the theory of projection as a means of understanding how the inner worlds of both doctors and patients can affect behaviour and the ways in which they perceive each other. A more reflective approach, the author argues, can free those in the caring role from the pressure of other people's inner worlds and help them to be more effective.

Examples from medical practice feature throughout the book as illustrations of the author's ideas and approach. Written in a clear and jargon-free style, the book provides valuable insights and strategies for doctors in general prac tice but equally for carers in a variety of professional settings. It will be essen-tial reading for carers who are sufficiently self aware to want to understand the internal pressures that arise from the demands of their work whilst taking responsibility for as much of their lives as possible.

Dr John W. Holland has worked in medicine for over 30 years, mostly as a family practitioner in a group practice near Peterborough, England. He is also a Diploma Member of the Institute of Psychotherapy and Coun selling, and has been active in the training of general practitioners and counsellors for many years.</note>
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