MILITARY MEDICINE, vol. 163, n° 12, 1998, pages 826-833, 34 réf., ISSN 0026-4075, USA
HINES (A.H.), ADER (D.N.), CHANG (A.S.) *, RUNDELL (J.R.)
Department of Psychiatry. Walter Reed Army Medical Center. Washington. DC. USA, Department of Psychiatry. Uniformed Services University of the Health Sciences. Bethesda. MD. USA
We hypothesized that psychiatrists with high dual-agency potential (military and health maintenance organization [HMO] psychiatrists) were more likely than non-HMO civilian psychiatrists to engage in dual relationships, report pressures to do so, participate in other general boundary-crossing activities, and report associated counter-therapeutic outcomes (boundary violations).
Ninety military and 191 demographically matched civilian psychiatrists reported the number of boundary-crossing activities (including dual relationships) and associated counter-therapeutic outcomes in the preceding year with adult patients.
Military and HMO psychiatrists reported greater external pressures than non-HMO civilian psychiatrists to engage in dual relationships ; however, all three groups were similar in their reported numbers of dual relationships.
The reported boundary-crossing activities and dual relationships studied here are not necessarily associated with reported boundary violations.
The relative risk of a particular boundary crossing associating with harm to a patient likely depends on the therapeutic context and should be determined on a case-by-case basis.
Mots-clés BDSP : Psychiatrie, Facteur risque, Militaire, Activité professionnelle, Facteur sociodémographique, Thérapeutique, Homme, Système nerveux [pathologie]
Mots-clés Pascal : Psychiatrie, Relation médecin psychiatre, Facteur risque, Enquête sur terrain, Militaire, Violation parité, Activité professionnelle, Facteur sociodémographique, Limite, Traitement, Dualité, Homme, Système nerveux pathologie, Organisation santé
Mots-clés Pascal anglais : Psychiatry, Psychiatrist physician relation, Risk factor, Field inquiry, Military, Parity violation, Professional activity, Sociodemographic factor, Limit, Treatment, Duality, Human, Nervous system diseases, Public health organization
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0051069
Code Inist : 002B18H02. Création : 31/05/1999.